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Individual

JOSE LORENZO RAMIREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410
(219) 769-4005
(219) 769-2508
Mailing address
8400 LOUISIANNA ST, MERRILLVILLE, IN 46410
(219) 757-1928
(219) 757-1950

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01039272A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000203738
OTHER
05
100117310
IN
Enumeration date
08/01/2005
Last updated
05/17/2011
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