Individual
LUIS A REINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 SW A AVENUE, LAWTON, OK 73505
(580) 248-1004
(280) 248-1108
Mailing address
PO BOX 6570, LAWTON, OK 73506
(580) 248-1004
(580) 248-1108
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23520
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026790A
—
OK
Enumeration date
09/15/2006
Last updated
07/08/2007
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