Individual
DR. LYRA AZALIA SIHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3120 CLEARWATER DR, PRESCOTT, AZ 86305-7131
(928) 771-3704
(928) 771-0434
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
J8772
TX
207R00000X
Internal Medicine Physician
Primary
73140
AZ
207R00000X
Internal Medicine Physician
J8772
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
J8772
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
J8772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125036707
—
TX
05
—
125036708
—
TX
05
—
241584
—
AZ
01
—
8AT555
BLUE CROSS BLUE SHIELD
TX
01
—
8BP179
BLUE CROSS BLUE SHIELD
TX
01
—
P01030479
RR MEDICARE
TX
Enumeration date
01/29/2007
Last updated
05/22/2025
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