Provider Demographics
NPI:1063226660
Name:FOSTER, REINA LISA (MT(ASCP))
Entity type:Individual
Prefix:MRS
First Name:REINA
Middle Name:LISA
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MT(ASCP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5164 MCCARTY RD
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-9620
Mailing Address - Country:US
Mailing Address - Phone:989-737-6440
Mailing Address - Fax:989-799-7278
Practice Address - Street 1:5164 MCCARTY RD
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-9620
Practice Address - Country:US
Practice Address - Phone:989-737-6440
Practice Address - Fax:989-799-7278
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker