MEDICARE: LORI REITER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	APRN-NP176475	GA

General Provider Information

NPI Number	:	1184442337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI REITER NP

Provider Business Mailing Address
First Line	:	11459 JOHNS CREEK PKWY STE 200
Second Line	:
City	:	JOHNS CREEK
State	:	GA
Zip	:	30097-3519
Country	:	US
Telephone Number	:	770-623-0910
Fax Number	:	770-622-8144

Provider Business Practice Location Address
First Line	:	4800 OLDE TOWNE PKWY STE 350
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30068-4396
Country	:	US
Telephone Number	:	470-407-2407
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	02/11/2026

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Directions to “ LORI REITER NP” Practice Location

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