Provider Demographics
NPI:1124018007
Name:REISNER, LORI A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LORI
Middle Name:A
Last Name:REISNER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 PARNASSUS AVE RM C-152
Mailing Address - Street 2:UCSF DEPT. OF CLINICAL PHARMACY
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0622
Mailing Address - Country:US
Mailing Address - Phone:415-476-5018
Mailing Address - Fax:
Practice Address - Street 1:521 PARNASSUS AVE. ROOM C-152
Practice Address - Street 2:UCSF DEPARTMENT OF CLINICAL PHARMACY
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0622
Practice Address - Country:US
Practice Address - Phone:415-476-2352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 414011835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy