IndividualActive
Lisa Reardon, M.ED
NPI 1407890130 · Nursing Home Administrator · Oak Grove, LA
Provider details
- NPI number
- 1407890130
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Credential
- M.ED
- Sex
- Female
- License
- 1183 (LA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
307 North Castleman Street
Oak Grove, LA 71263-0788
Phone: (318) 428-3249
Fax: (318) 428-7547
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 761
Oak Grove, LA 71263-0761
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.