Individual
DR. LORI A REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MBO64192
NJ
Other
Enumeration date
06/02/2005
Last updated
11/19/2009
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