Lizardo, Reanna Sade

Lizardo, Reanna Sade is an individual health care provider with primary practice located at 340 Kingsland St , Nutley NJ 07110-1150. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Lizardo, Reanna Sade can be contacted via phone (973) 761-9000.

Contact Information

Primary practice address
340 Kingsland St Nutley NJ 07110-1150
Phone: (973) 761-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1417600438
LBN Legal business name Lizardo, Reanna Sade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2022
Last updated Jan 31st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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