Individual
DR. LOURDES AMPARO PEREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200400397
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
200400397
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13682
BLUE CROSS
NC
01
—
34D1088464
CLIA - CMS
NC
05
—
8913682
—
NC
05
—
891368Z
—
NC
Enumeration date
08/26/2005
Last updated
03/07/2023
Update your record
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