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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORNA RAE REISNER, NP

Active

LORNA RAE REISNER, NP is a Nurse Practitioner healthcare provider located in LAKESIDE, Arizona. NPI 1043249220 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · LAKESIDE, AZ

Registration Details

NPI Number
1043249220
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2006 (20.132760415933 yrs)
Last Updated
Aug 22, 2014
Licenses
RN039092 (AZ)
AP0182 (AZ)

Practice Information

Address
218 W WHITE MOUNTAIN BLVD
SUITE D
LAKESIDE, AZ, 859297013
Browse AZ providers · Browse ZIP 85929
Phone
9283679995
Fax
9283679988
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.