Provider Demographics
NPI:1225203235
Name:REINHART, LISA M (RN)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:M
Last Name:REINHART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:946 HARVEY TER
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-3504
Mailing Address - Country:US
Mailing Address - Phone:608-256-1541
Mailing Address - Fax:608-256-1541
Practice Address - Street 1:946 HARVEY TER
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53703-3504
Practice Address - Country:US
Practice Address - Phone:608-256-1541
Practice Address - Fax:608-256-1541
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI86414030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse