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.
Location: 1550 S Anaheim Blvd, Anaheim, CA, 92805-6218
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
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO0003156 | 01 | CA | ABC CERTIFICATE |
| X60007611 | 05 | CA |
Provider Business Practice Location Address Details
Address
1550 S Anaheim Blvd
City
State
Zip
92805-6218
Phone Number
562-355-0279
Fax Number
Provider Business Mailing Address Details
Address
1550 S Anaheim Blvd
City
State
Zip
92805-6218
Phone Number
562-355-0279
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
CO3156 (California)
Definition
Definition to come...
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