Provider Demographics
NPI:1386242170
Name:REECE, ELIZABETH DENISE (LVN)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DENISE
Last Name:REECE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:TAYLOR
Other - Last Name:REECE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LVN
Mailing Address - Street 1:744 HUBERT CARROLL RD
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-2204
Mailing Address - Country:US
Mailing Address - Phone:936-240-2193
Mailing Address - Fax:
Practice Address - Street 1:744 HUBERT CARROLL RD
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-2204
Practice Address - Country:US
Practice Address - Phone:936-699-2404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206224164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse