Provider Demographics
NPI:1649607896
Name:RAMIREZ, LUZ E (LPN)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:E
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:LUZ
Other - Middle Name:E
Other - Last Name:RAMIREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:289 LYNDHURST ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14605-2612
Mailing Address - Country:US
Mailing Address - Phone:585-325-5072
Mailing Address - Fax:
Practice Address - Street 1:289 LYNDHURST ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14605-2612
Practice Address - Country:US
Practice Address - Phone:585-325-5072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2975551164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse