Lirio, Beverly Jane

Lirio, Beverly Jane is an individual health care provider with primary practice located at 3516 12Th Ave Ne , Olympia WA 98506-5218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lirio, Beverly Jane can be contacted via phone (360) 918-0604.

Contact Information

Primary practice address
3516 12Th Ave Ne Olympia WA 98506-5218
Fax: (360) 456-6504
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD60004152 Washington

Profile Details

NPI number 1952389140
LBN Legal business name Lirio, Beverly Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Apr 21st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952389140 NPPES
Washington MEDICAID 1093512

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