person
Liborio L Lira, MD
General Practice Physician in Crystal, Minnesota
NPI 1427054287

Liborio L Lira is a General Practice Physician based in Osseo, MN. Liborio L Lira practices in Crystal, MN and has the professional credentials of MD. The NPI Number for Liborio L Lira is 1427054287 and holds a License No. 20943 (Minnesota).

The current practice location address for Liborio L Lira is 3501 Douglas Dr N, Crystal, MN and can be reached out via phone at 764-535-9601 and via fax at 763-535-5601.

Location: 3501 Douglas Dr N, Crystal, MN, 55369-1245
person
Provider Profile Details
NPI Number
1427054287
Provider Name
Liborio L Lira
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3501 Douglas Dr N, Crystal, MN, 55369-1245
Phone Number
764-535-9601
Fax Number
763-535-5601
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
843570700 05 MN
institution
Provider Business Practice Location Address Details
Address
3501 Douglas Dr N
City
State
Zip
55422-2480
Phone Number
764-535-9601
Fax Number
763-535-5601
person
Provider Business Mailing Address Details
Address
3501 Douglas Dr N
City
State
Zip
55422-2480
Phone Number
764-535-9601
Fax Number
763-535-5601
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
20943 (Minnesota)
Definition
Definition to come...
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