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Lisa Diane Reynolds

Lisa Diane Reynolds is a health care provider specializes in Nurse Practitioner. She is associated with medical group practice TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER SON LUBBOCK and is affiliated with hospital of University Medical Center.

profile-icon Basic Information

Practice Location 301 40th St, Lubbock, TX 79404-2746, US
Practice Location Phone806-743-9355
Practice Location Fax806-743-9363
GenderFemale
Specialty InNurse Practitioner
Medical SchoolOther
Graduation Year2007
NPI ?1396926945
PECOS ID2668552563
Enrollment IDI20080114000276
Entity TypeIndividual
Enumeration Date ? Nov 23, 2007
Last Update Date ? Oct 12, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Lisa Diane Reynolds

SpecialtySpecializationLicenseLicense State
Nurse PractitionerFamily 658247Texas
Nurse PractitionerFamily AP117413Texas

Medicare-icon Medicare Participation of Lisa Diane Reynolds

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Lisa Diane Reynolds

Medical Group PracticeTexas Tech University Health Sciences Center Son Lubbock
Affiliation 1 University Medical Center

legacy-id-icon Legacy Provider IDs of Lisa Diane Reynolds

Provider IdIssuer StateIssuer TypeIssuer
459720YP54TexasMedicare Pin