Pereda, Lourdes Amparo

Pereda, Lourdes Amparo is an individual health care provider with primary practice located at 285 W Dora St , Angier NC 27501-9542. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Pereda, Lourdes Amparo can be contacted via phone (919) 639-9995.

Contact Information

Primary practice address
285 W Dora St Angier NC 27501-9542
Fax: (919) 639-3518
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 200400397 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200400397 North Carolina

Profile Details

NPI number 1609869437
LBN Legal business name Pereda, Lourdes Amparo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Mar 7th, 2023 - about 2 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 1609869437 NPPES
North Carolina MEDICAID 8913682
North Carolina MEDICAID 891368Z
North Carolina Other 34D1088464
North Carolina Other 13682

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