Healthcare Provider Details

I. General information

NPI: 1649421553
Provider Name (Legal Business Name): LOIS RAMER NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2008
Last Update Date: 10/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N MISSION RD RAND SCHRADER CLINIC
LOS ANGELES CA
90033-1021
US

IV. Provider business mailing address

5636 NORWALK BLVD
WHITTIER CA
90601-2532
US

V. Phone/Fax

Practice location:
  • Phone: 323-343-8255
  • Fax:
Mailing address:
  • Phone: 323-226-6307
  • Fax: 332-322-6609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number292628 8363
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number292628
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: