Individual
MARIA LOURDES HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY # MC5124, SAN DIEGO, CA 92123-4223
(858) 966-6764
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MED-PHYS-LIC-92335
MT
2080P0206X
Pediatric Gastroenterology Physician
2018-00788
NC
2080P0206X
Pediatric Gastroenterology Physician
Primary
MED-PHYS-LIC-92335
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2012
Last updated
02/03/2021
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