| Doctor Name: | MRS. LOLA DINA REYNA |
| NPI Number: | 1124330360 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN MSN FNP |
| License Number: | 680597 |
| Business Practice Address: | 1707 Roosevelt Blvd Alice, TX - 783324027 |
| Business Phone Number: | 3617019333 |
| Business Fax Number: | |
| Mailing Address: | 1707 Roosevelt Blvd, ALICE |
| State: | TX |
| Postal Code: | 783324027 |
| Phone Number: | 3617019333 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2010 |
| NPI Last Update Date: | 07/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 680597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |