Individual
DR. LISA RENEE REZNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 FAIRWAY DR, SUITE 120, CARROLLTON, TX 75010-6525
(972) 395-9000
(972) 395-9002
Mailing address
4100 FAIRWAY DR, SUITE 120, CARROLLTON, TX 75010-6525
(972) 395-9000
(972) 395-9002
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
K0169
TX
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
K0169
TX
Other
Enumeration date
12/22/2005
Last updated
04/06/2011
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