Lisa Renee Reznick MD, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

K0169 Issued in TX

Legal business name

LISA RENEE REZNICK MD, PA

Practice address

4100 Fairway Dr
Suite 120
Carrollton, TX 75010-6525

Phone

(972) 395-9000

Fax

(972) 395-9002

NPI assigned

Dec 6, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lisa Renee Reznick, MD

Title

Physician

Phone

(972) 395-9000

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291593600000",
    "number": "1982907465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY CT",
            "address_2": "SUITE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-395-9000",
            "fax_number": "972-395-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FAIRWAY DR",
            "address_2": "SUITE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106525",
            "telephone_number": "972-395-9000",
            "fax_number": "972-395-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA RENEE REZNICK MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-06",
        "status": "A",
        "authorized_official_last_name": "REZNICK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-395-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "K0169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Linan, D.D.S.
• Diane Kay Lindgren, LPC
• Rodney Lindsay, M.D.
• Eileen Liou, PHARMD
• Lisa Park OD PLLC
• Little Angels Pediatric Therapies LLC
• Little Lantern Care
• Little Lantern Clinic LLC
• Little Lantern Home Health LLC
• Little Lantern Hospice LLC

• Durable Medical Equipment & Medical Supplies in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.