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Lissette E. Tirado, DPM
Foot Surgery Podiatrist in Lilburn, Georgia
NPI 1508866765

Lissette E. Tirado is a Foot Surgery Podiatrist based in Lilburn, GA and is specialized in Foot Surgery. Lissette E. Tirado practices in Lilburn, GA and has the professional credentials of DPM. The NPI Number for Lissette E. Tirado is 1508866765 and holds a License No. 000729 (Georgia).

The current practice location address for Lissette E. Tirado is 625 Beaver Ruin Rd Nw, Lilburn, GA and can be reached out via phone at 770-935-4443 and via fax at 770-935-4475.

Location: 625 Beaver Ruin Rd Nw, Lilburn, GA, 30047-3467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508866765
Provider Name
Lissette E. Tirado
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
625 Beaver Ruin Rd Nw, Lilburn, GA, 30047-3467
Phone Number
770-935-4443
Fax Number
770-935-4475
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000761736A 05 GA
institution
Provider Business Practice Location Address Details
Address
625 Beaver Ruin Rd Nw
City
Lilburn
State
Georgia
Zip
30047-3467
Phone Number
770-935-4443
Fax Number
770-935-4475
person
Provider Business Mailing Address Details
Address
625 Beaver Ruin Rd Nw
City
Lilburn
State
Georgia
Zip
30047-3467
Phone Number
770-935-4443
Fax Number
770-935-4475
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
000729 (Georgia)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
000729 (Georgia)
Definition
Definition to come...
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