| Doctor Name: | LIBORIO L LIRA |
| NPI Number: | 1427054287 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 20943 |
| Business Practice Address: | 3501 Douglas Dr N Crystal, MN - 554222480 |
| Business Phone Number: | 7645359601 |
| Business Fax Number: | 7635355601 |
| Mailing Address: | 226 Central Ave, OSSEO |
| State: | MN |
| Postal Code: | 553691245 |
| Phone Number: | 7634252117 |
| Fax Number: | 7634253935 |
| NPI Enumeration Date: | 06/24/2005 |
| NPI Last Update Date: | 02/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |