Individual
LORRAINE LIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
99 KINDERKAMACK RD STE 307, WESTWOOD, NJ 07675-3021
(201) 261-6222
(201) 261-4411
Mailing address
680 KINDERKAMACK RD, SUITE 302, ORADELL, NJ 07649-1600
(201) 261-6222
(201) 261-4411
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MA71262
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K7882
HEALTHNET
—
05
—
8719209
—
NJ
01
—
9059043-002
CIGNA
—
01
—
P2533299
OXFORD
—
Enumeration date
10/24/2006
Last updated
12/17/2018
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