Provider Demographics
NPI:1407403439
Name:RAMIREZ, LEANNA LYNN (LPT)
Entity Type:Individual
Prefix:MRS
First Name:LEANNA
Middle Name:LYNN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LPT
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Mailing Address - Street 1:2030 ROYALTY DR
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2838
Mailing Address - Country:US
Mailing Address - Phone:626-482-1104
Mailing Address - Fax:626-371-1329
Practice Address - Street 1:1711 W TEMPLE ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-5421
Practice Address - Country:US
Practice Address - Phone:626-288-1160
Practice Address - Fax:626-371-1329
Is Sole Proprietor?:No
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33245167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician