| Doctor Name: | LISA M REARDON |
| NPI Number: | 1326329533 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP, WHNP |
| License Number: | RN273646 |
| Business Practice Address: | 1 Compass Way Suite 109 East Bridgewater, MA - 023331465 |
| Business Phone Number: | 5083502995 |
| Business Fax Number: | 5083502996 |
| Mailing Address: | 1 Compass Way, Suite 109 EAST BRIDGEWATER |
| State: | MA |
| Postal Code: | 023331465 |
| Phone Number: | 5083502995 |
| Fax Number: | 5083502996 |
| NPI Enumeration Date: | 09/01/2011 |
| NPI Last Update Date: | 09/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN273646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |