Provider Demographics
NPI:1669408209
Name:RAMIREZ-HOM, LALAINE (MD)
Entity type:Individual
Prefix:DR
First Name:LALAINE
Middle Name:
Last Name:RAMIREZ-HOM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 ASHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EFFINGHAM
Mailing Address - State:IL
Mailing Address - Zip Code:62401-5101
Mailing Address - Country:US
Mailing Address - Phone:217-342-3153
Mailing Address - Fax:
Practice Address - Street 1:1901 S 4TH ST
Practice Address - Street 2:
Practice Address - City:EFFINGHAM
Practice Address - State:IL
Practice Address - Zip Code:62401-4187
Practice Address - Country:US
Practice Address - Phone:217-347-7600
Practice Address - Fax:217-342-9733
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036095885207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine