Provider Demographics
NPI:1013386556
Name:REDDY, LIZABETH L (DC)
Entity Type:Individual
Prefix:DR
First Name:LIZABETH
Middle Name:L
Last Name:REDDY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:288E STATE ROAD 434
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-5274
Mailing Address - Country:US
Mailing Address - Phone:407-636-9800
Mailing Address - Fax:407-636-9898
Practice Address - Street 1:288 E SR 434
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-5274
Practice Address - Country:US
Practice Address - Phone:407-736-9800
Practice Address - Fax:407-736-9898
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11210111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor