Individual
LINDSEY DANIELLE LIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27082 W MAIN ST, EDWARDSBURG, MI 49112-9334
(269) 246-1375
(269) 246-1376
Mailing address
27082 W. MAIN ST, EDWARDSBURG, MI 49112-9334
(269) 246-1375
(269) 246-1376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01063930A
IN
207Q00000X
Family Medicine Physician
Primary
4301103983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109836
—
MI
Enumeration date
04/10/2007
Last updated
06/21/2023
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