Provider Demographics
NPI:1255150439
Name:REEVES, LISA MARIE
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:MARIE
Last Name:REEVES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 HIGH HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLERSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43727-9612
Mailing Address - Country:US
Mailing Address - Phone:740-995-3949
Mailing Address - Fax:
Practice Address - Street 1:8800 HIGH HILL RD
Practice Address - Street 2:
Practice Address - City:CHANDLERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43727-9612
Practice Address - Country:US
Practice Address - Phone:740-995-3949
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant