Provider Demographics
NPI:1831974864
Name:LYONS-RAGAINS, CIARA JANAI (RN)
Entity type:Individual
Prefix:
First Name:CIARA
Middle Name:JANAI
Last Name:LYONS-RAGAINS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 PARAMOUNT BLVD APT E246
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2338
Mailing Address - Country:US
Mailing Address - Phone:562-453-5612
Mailing Address - Fax:
Practice Address - Street 1:10440 PARAMOUNT BLVD APT E246
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-2338
Practice Address - Country:US
Practice Address - Phone:562-453-5612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95148588163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse