Lissette E. Tirado in Lilburn - Podiatrist

Lissette E. Tirado - NPI 1508866765

Lissette E. Tirado is a Podiatrist in Lilburn, Georgia. Lissette E. Tirado practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Lissette E. Tirado is 1508866765. The last update date is 2013-08-27.

Lissette E. Tirado's current location address is 625 Beaver Ruin Rd Nw, Lilburn, Georgia. You can contact this provider via phone number 7709354443 and fax number 7709354475. The mailing address for Lissette E. Tirado is 625 Beaver Ruin Rd Nw, Lilburn, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Lissette E. Tirado
Address 625 Beaver Ruin Rd Nw, Lilburn, Georgia
Phone Number 7709354443
Fax Number 7709354475
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1508866765
Provider Enumeration Date 2005-07-28
Last Updated Date 2013-08-27

Provider Mailing Address Detail

Address 625 Beaver Ruin Rd Nw
City Lilburn
State Georgia (GA)
Post Code 300473467
Phone Number 7709354443
Fax Number 7709354475

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 729
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000761736A GA --

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FAQs about Lissette E. Tirado

What is the unique 10-digit identifier code assigned to Lissette E. Tirado by the Centers for Medicare & Medicaid Services?

The Lissette E. Tirado has been issued the NPI (National Provider Identifier) 1508866765 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Lissette E. Tirado's physical address?

The Lissette E. Tirado is physically located at 625 Beaver Ruin Rd Nw, in the city of Lilburn, GA, with the postal code 300473467.

What is Lissette E. Tirado's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lissette E. Tirado is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1508866765 to Lissette E. Tirado?

The Lissette E. Tirado received its 1508866765 assignment from the Centers for Medicare & Medicaid Services on 2005-07-28.

When was the information regarding Lissette E. Tirado most recently updated?

The details pertaining to the Lissette E. Tirado, including its address, specialty, and other relevant information, were last refreshed on 2013-08-27.

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