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
Phone: (919) 639-9995
Fax: (919) 639-3518
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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