| Doctor Name: | LORENA REYES |
| NPI Number: | 1316229503 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN BSN CPN |
| License Number: | 16303530 |
| Business Practice Address: | 8710 S Wood Creek Dr Apt 6 Oak Creek, WI - 531547500 |
| Business Phone Number: | 8472573738 |
| Business Fax Number: | |
| Mailing Address: | 8710 S Wood Creek Dr Apt 6, OAK CREEK |
| State: | WI |
| Postal Code: | 531547500 |
| Phone Number: | 8472573738 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2011 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 16303530 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |