Provider Demographics
NPI:1437768157
Name:RAMIREZ, LERIZA ALELUJAH BULOSAN (OD)
Entity Type:Individual
Prefix:DR
First Name:LERIZA ALELUJAH
Middle Name:BULOSAN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LERIZA ALELUJAH
Other - Middle Name:B
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:571-223-6780
Practice Address - Street 1:1051 HALSEY ST STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4959
Practice Address - Country:US
Practice Address - Phone:713-453-2972
Practice Address - Fax:713-450-3609
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-28
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10020152W00000X
TX10020TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist