Provider Demographics
NPI:1851518187
Name:LIRA, ISMAEL ARMANDO (DC)
Entity Type:Individual
Prefix:DR
First Name:ISMAEL
Middle Name:ARMANDO
Last Name:LIRA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5638 HOLLISTER AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-3485
Mailing Address - Country:US
Mailing Address - Phone:805-683-3090
Mailing Address - Fax:805-681-7253
Practice Address - Street 1:5638 HOLLISTER AVE
Practice Address - Street 2:#301
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93117-3474
Practice Address - Country:US
Practice Address - Phone:805-683-3090
Practice Address - Fax:805-681-7253
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30536111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor