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Ms. Lisa Cox Reardon, MED
Nursing Home Administrator in Oak Grove, Louisiana
NPI 1407890130

Lisa Cox Reardon is a Nursing Home Administrator based in Oak Grove, LA. Lisa Cox Reardon practices in Oak Grove, LA and has the professional credentials of MED. The NPI Number for Lisa Cox Reardon is 1407890130 and holds a License No. 1183 (Louisiana).

The current practice location address for Lisa Cox Reardon is 307 North Castleman Street, Oak Grove, LA and can be reached out via phone at 318-428-3249 and via fax at 318-428-7547.

Location: 307 North Castleman Street, Oak Grove, LA, 71263-0761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407890130
Provider Name
Lisa Cox Reardon
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
307 North Castleman Street, Oak Grove, LA, 71263-0761
Phone Number
318-428-3249
Fax Number
318-428-7547
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1511595 05 LA
institution
Provider Business Practice Location Address Details
Address
307 North Castleman Street
City
Oak Grove
State
Louisiana
Zip
71263-0788
Phone Number
318-428-3249
Fax Number
318-428-7547
person
Provider Business Mailing Address Details
Address
307 North Castleman Street
City
Oak Grove
State
Louisiana
Zip
71263-0788
Phone Number
318-428-3249
Fax Number
318-428-7547
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
1183 (Louisiana)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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