NPI age
20 years
Enumerated 2005-07-28
● Active
Type 1 · Individual
Lissette E. Tirado, D.P.M.
Tirado is 1 of 1 podiatrist providers in Lilburn and 1 of 437 in Georgia.
Primary specialty
Podiatrist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-08-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 437 active podiatrist providers in Georgia.
NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
625 Beaver Ruin Rd Nw, Suite C
Lilburn, GA 300473467
Mailing address
625 Beaver Ruin Rd Nw, Suite C
Lilburn, GA 300473467
Specialties
-
Podiatrist PrimaryA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
-
PodiatristDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000761736A |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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