Healthcare Provider Details

I. General information

NPI: 1912057357
Provider Name (Legal Business Name): ELIZABETH J LAPERRIERE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 RALSTON ST FL 2
VENTURA CA
93003-6050
US

IV. Provider business mailing address

200 HILLMONT AVE
VENTURA CA
93003-1647
US

V. Phone/Fax

Practice location:
  • Phone: 805-642-7033
  • Fax: 805-642-7732
Mailing address:
  • Phone: 805-652-6729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN95200584
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: