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NPI Profile for LISA C REARDON in OAK GROVE, LA.
An individual, often licensed by the state, who is responsible for the management of a nursing home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Home Administrator |
376G00000X |
| NPI Number | 1407890130 |
|
| Status | Active | |
| Credentials | M.ED | |
| Entity | Individual | |
| Enumeration date | 06/15/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LISA C REARDON
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LISA C REARDON, M.ED