PETER M LIRA NPI 1093773236

NPI Information

NPI: 1093773236
Provider Name: PETER M LIRA
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
1550 S ANAHEIM BLVD
SUITE G
ANAHEIM, CA
ZIP 92805
Phone: (562) 355-0279
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Peter M Lira is a prosthetics case management specialist in Anaheim, CA. Peter M Lira NPI is 1093773236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1550 S ANAHEIM BLVD
SUITE G
ANAHEIM, CA
ZIP 92805-218
Phone: (562) 355-0279

The enumeration date for this NPI number is 5/3/2006 and was last updated on 6/17/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		CO0003156	CALIFORNIA	No
2	1744P3200X	Specialist	Prosthetics Case Management	CO3156	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6018270001	MEDICARE NSC
2	X60007611	MEDICAID	CALIFORNIA
3	CO0003156	OTHER	CALIFORNIA	ABC CERTIFICATE
4	6018270001	MEDICARE NSC	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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