Individual
MS. LISA MARIE REICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 N. 31ST, CLINTON, OK 73601
(580) 323-6021
(580) 323-5635
Mailing address
1109 DELL DR, CLINTON, OK 73601-1821
(580) 323-8168
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R0077555
OK
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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