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LORNA RAE REISNER NP
NPI 1043249220
Nurse Practitioner in Lakeside, AZ

Active since July 01, 2006
218 W WHITE MOUNTAIN BLVD, SUITE D, LAKESIDE, AZ 85929(928) 367-9995(928) 367-9988 Get Directions Write a Review

NPPES record last updated: August 22, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lorna Rae Reisner Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORNA RAE REISNER NP (NPI 1043249220) is an individual nurse practitioner in Lakeside, Arizona, licensed in Arizona (AP0182) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043249220
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORNA RAE REISNERCredential: NP
Location Address218 W WHITE MOUNTAIN BLVD, SUITE DLakeside, AZ 85929-7013
Mailing AddressPo Box 99Overgaard, AZ 85933-0099 · (928) 535-6667 · Fax (928) 535-5561
Phone(928) 367-9995
Fax(928) 367-9988
Sole ProprietorNo
Enumeration DateJuly 1, 2006
Last NPPES UpdateAugust 22, 2014
✔ NPI 1043249220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AZ · AP0182
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN039092 (AZ)
218 W WHITE MOUNTAIN BLVD, Lakeside, AZ 85929
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Other Identifiers 2

Medicare UPINQ64566
Medicare ID-Type Unspecified8HF049Trailblazer - Medicare

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUWAGBENGA SERRANO
Internal Medicine (Gastroenterology)
218 W WHITE MOUNTAIN BLVD, SUITE C
LAKESIDE, AZ 85929
Navajo County (928) 367-3637
JESSE WILCOCK OTR/L
Occupational Therapist
218 W WHITE MOUNTAIN BLVD, SUITE A & B
LAKESIDE, AZ 85929
Navajo County (928) 367-5779
PEACE FAMILY MEDICINE PC
Family Medicine
218 W WHITE MOUNTAIN BLVD, SUITE D
LAKESIDE, AZ 85929
Navajo County (928) 367-9995
ED D LAURITSEN PHD PC
Psychologist (Clinical)
218 W WHITE MOUNTAIN BLVD, SUITE D
LAKESIDE, AZ 85929
Navajo County (928) 367-9995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorna Reisner's NPI number?

The NPI number for Lorna Reisner is 1043249220. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Lorna Reisner located?

Lorna Reisner practices at 218 W White Mountain Blvd Suite D, Lakeside, AZ 85929. The listed phone number is (928) 367-9995.

What is Lorna Reisner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lorna Reisner was last updated on August 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.