Healthcare Provider Details

I. General information

NPI: 1205460235
Provider Name (Legal Business Name): LILY TRAN RAMIREZ FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LILY TRAN

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 08/26/2024
Certification Date: 08/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3915 BARONNE ST STE 201
NEW ORLEANS LA
70115-5377
US

IV. Provider business mailing address

2117 ATHENA AVE
TERRYTOWN LA
70056-2640
US

V. Phone/Fax

Practice location:
  • Phone: 504-677-8883
  • Fax: 504-201-0547
Mailing address:
  • Phone: 504-256-6503
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN159701
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number237266
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: