Individual
MARITZA J LIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
28120 PEACOCK RIDGE DR APT 608, RANCHO PALOS VERDES, CA 90275-3450
(949) 735-2586
(949) 649-7043
Mailing address
28120 PEACOCK RIDGE DR APT 608, RANCHO PALOS VERDES, CA 90275-3450
(949) 735-2586
(949) 334-0215
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95014079
CA
Other
Enumeration date
03/03/2020
Last updated
06/27/2024
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