Lisa M Reily

NPI #1861866006 in Midwest City, Oklahoma

Provider Information

NPI Number: 1861866006
Entity Type: Individual
Name: Lisa M Reily
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Nov 28, 2015
Last Updated: Nov 28, 2015

Practice Location

Address: 2825 PARKLAWN DR
City: Midwest City
State: Oklahoma
ZIP Code: 73110-4201
Phone: (405) 610-8728

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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