Provider Demographics
NPI:1235797267
Name:RAMIREZ, LENA ANNE (ND)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:ANNE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 S MONTEZUMA ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86303-7022
Mailing Address - Country:US
Mailing Address - Phone:928-445-2900
Mailing Address - Fax:
Practice Address - Street 1:343 S MONTEZUMA ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86303-7022
Practice Address - Country:US
Practice Address - Phone:928-445-2900
Practice Address - Fax:928-445-2053
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath