Provider Demographics
NPI:1316718596
Name:LLOPIZ, LEIMARY MORALES (DOULA)
Entity type:Individual
Prefix:
First Name:LEIMARY
Middle Name:MORALES
Last Name:LLOPIZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 AMANDA AVE # 195
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-1754
Mailing Address - Country:US
Mailing Address - Phone:774-510-9886
Mailing Address - Fax:
Practice Address - Street 1:195 AMANDA AVE # 195
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-1754
Practice Address - Country:US
Practice Address - Phone:774-510-9886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAM0223-1361374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty