Provider Demographics
NPI:1407901432
Name:PEREZ, LEMNY (MA)
Entity type:Individual
Prefix:MS
First Name:LEMNY
Middle Name:
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 6TH STREET
Mailing Address - Street 2:
Mailing Address - City:POINT REYES STATION
Mailing Address - State:CA
Mailing Address - Zip Code:94956-9998
Mailing Address - Country:US
Mailing Address - Phone:415-473-8231
Mailing Address - Fax:415-473-3828
Practice Address - Street 1:100 6TH STREET
Practice Address - Street 2:
Practice Address - City:POINT REYES STATION
Practice Address - State:CA
Practice Address - Zip Code:94956-9998
Practice Address - Country:US
Practice Address - Phone:415-473-8231
Practice Address - Fax:415-473-3828
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2013-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program