Provider Demographics
NPI:1205460235
Name:RAMIREZ, LILY TRAN (FNP-C)
Entity type:Individual
Prefix:
First Name:LILY
Middle Name:TRAN
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:LILY
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2117 ATHENA AVE
Mailing Address - Street 2:
Mailing Address - City:TERRYTOWN
Mailing Address - State:LA
Mailing Address - Zip Code:70056-2640
Mailing Address - Country:US
Mailing Address - Phone:504-256-6503
Mailing Address - Fax:
Practice Address - Street 1:3915 BARONNE ST STE 201
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-5377
Practice Address - Country:US
Practice Address - Phone:504-677-8883
Practice Address - Fax:504-201-0547
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN159701163WE0003X
LA237266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency