Provider Demographics
NPI:1972627248
Name:RAMIREZ, LANETTE MARIE
Entity type:Individual
Prefix:
First Name:LANETTE
Middle Name:MARIE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11931 LAKEWOOD BLVD
Mailing Address - Street 2:APT # 16
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5428
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11931 LAKEWOOD BLVD
Practice Address - Street 2:APT # 16
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5428
Practice Address - Country:US
Practice Address - Phone:310-846-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner