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Peter M Lira
Specialist in Anaheim, California
NPI 1093773236

Peter M Lira is a Specialist based in Anaheim, CA. Peter M Lira practices in Anaheim, CA. The NPI Number for Peter M Lira is 1093773236 and holds a License No. CO3156 (California).

The current practice location address for Peter M Lira is 1550 S Anaheim Blvd, Anaheim, CA and can be reached out via phone at 562-355-0279. You can also correspond with Peter M Lira through the mailing address at 1550 SO ANAHEIM BLVD, ANAHEIM, CA - 92805-6218 (mailing address contact number: 714-635-1401).

Location: 1550 S Anaheim Blvd, Anaheim, CA, 92805-6218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093773236
Provider Name
Peter M Lira
Credential
Provider Entity Type
Individual
Gender
Male
Address
1550 S Anaheim Blvd, Anaheim, CA, 92805-6218
Phone Number
562-355-0279
Fax Number
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO0003156 01 CA ABC CERTIFICATE
X60007611 05 CA
institution
Provider Business Practice Location Address Details
Address
1550 S Anaheim Blvd
City
Anaheim
State
California
Zip
92805-6218
Phone Number
562-355-0279
Fax Number
person
Provider Business Mailing Address Details
Address
1550 S Anaheim Blvd
City
Anaheim
State
California
Zip
92805-6218
Phone Number
562-355-0279
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
CO0003156 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
CO3156 (California)
Definition
Definition to come...
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