LISA RENO, NURSE PRACTITIONER

NURSE PRACTITIONER

NPI: 1306871538IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine Physician

Family Medicine

Code: 207Q00000X

209004280(IL)

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

209004280(IL)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2002

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Contact & Hours

Via practice · 2 locations total

Address: 100 SPRINGFIELD CT
O FALLON, IL 62269
Phone: (618) 632-3565

Locations (2)

Practice Location

100 SPRINGFIELD CT, O FALLON, IL

Practice Location

1414 CROSS ST STE 210, SHILOH, IL

Quick Facts

NPI: 1306871538
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 24

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