Park, Janelle Lira

Park, Janelle Lira is an individual health care provider with primary practice located at 580 Court St , Keene NH 03431-1729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Park, Janelle Lira can be contacted via phone (603) 354-5400.

Contact Information

Primary practice address
580 Court St Keene NH 03431-1729
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A78831 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME103816 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 23200 New Hampshire

Profile Details

NPI number 1033219563
LBN Legal business name Park, Janelle Lira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Oct 11th, 2022 - about 4 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 1033219563 NPPES
Florida Other P00811542 RR MEDICARE
Florida MEDICAID 001497200 RR MEDICARE
Florida Other 146KH RR MEDICARE
Florida Other 331658 RR MEDICARE

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