Individual
LOURDES R. REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 S HAYNES AVE, MILES CITY, MT 59301-4769
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6497
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077061
MDCD PIN
MT
Enumeration date
09/21/2006
Last updated
02/27/2008
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