Most Relevant Information
Provider Data
| NPI Number: | 1003589441 |
| Provider Name: | LORI LANDRY REEVES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 8588 |
Most Important Dates
| Enumeration Date: | 07/30/2021 |
| Last Updated: | 07/30/2021 |
Provider Practice Location
104 TASVO TRL
LAFAYETTE
LA
705088171
Practice Location Phone/Fax
| Phone: | 8582291629 |
| Fax: |
Provider Mailing Location
104 TASVO TRL
LAFAYETTE
LA
705088171
Provider Mailing Phone/Fax
| Phone: | 8582291629 |
| Fax: |