Provider Demographics
NPI:1578764031
Name:D'ALOISIO-LIRA, IRENE SOTO (NP)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:SOTO
Last Name:D'ALOISIO-LIRA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:430 N PALORA AVE
Practice Address - Street 2:SUITE G
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4707
Practice Address - Country:US
Practice Address - Phone:530-674-2603
Practice Address - Fax:530-674-0941
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP10443363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology