Individual
JEFFREY LIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 LAKESIDE TRAILER CT, JOHNSON LAKE, NE 68937-2255
(308) 520-5319
Mailing address
31 LAKESIDE TRAILER CT, JOHNSON LAKE, NE 68937-2255
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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