Individual
MS. LANITA REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
2325 PANSY ST SW STE E, HUNTSVILLE, AL 35801-3827
(256) 533-4626
(256) 533-4710
Mailing address
2325 PANSY ST SW STE E, HUNTSVILLE, AL 35801-3827
(256) 533-4626
(256) 533-4710
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003841
GA
Other
Enumeration date
11/07/2006
Last updated
09/01/2009
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