Reardon, Lisa Cox

Reardon, Lisa Cox is an individual health care provider with primary practice located at 307 North Castleman Street , Oak Grove LA 71263-0788. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Reardon, Lisa Cox can be contacted via phone (318) 428-3249.

Contact Information

Primary practice address
307 North Castleman Street Oak Grove LA 71263-0788
Phone: (318) 428-3249
Fax: (318) 428-7547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 1183 Louisiana

Profile Details

NPI number 1407890130
LBN Legal business name Reardon, Lisa Cox
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407890130 NPPES
Louisiana MEDICAID 1511595

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