Individual
LISA GARCIA REINICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-1640
(608) 363-7393
Mailing address
1905 E. HUEBBE PARKWAY, BELOIT HEALTH SYSTEM INC., BELOIT, WI 53511-1842
(608) 364-1640
(608) 363-7393
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
016-005435
IL
213E00000X
Podiatrist
Primary
624025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427074541
—
WI
01
—
REINILIS
MERCYCARE
—
Enumeration date
07/14/2006
Last updated
10/20/2011
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