| Organization Name: | LAWRENCE J. REIS, D.C.,P.A. |
| NPI Number: | 1972792133 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAWRENCE J. REIS (OWNER) |
| Mailing Address: | 1621 E Vine St Kissimmee |
| State: | FL US |
| Postal Code: | 347443730 |
| Phone Number: | 4078472898 |
| Fax Number: | 3214421099 |
| NPI Enumeration Date: | 10/23/2007 |
| NPI Last Update Date: | 10/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | CH0001632 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |