Individual
DR. ENRIQUE MENDIOLA LIRAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 UNION BLVD, ALLENTOWN, PA 18109-2423
(610) 433-6181
(610) 433-5124
Mailing address
1411 UNION BLVD, ALLENTOWN, PA 18109-2423
(610) 433-6181
(610) 433-5124
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MDO63607L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008897740001
—
PA
05
—
1008897740015
—
PA
Enumeration date
09/26/2006
Last updated
01/06/2022
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