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Individual

DR. LOURDES AMPARO PEREDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
285 W DORA ST, ANGIER, NC 27501-9542
(919) 639-9995
(919) 639-3518
Mailing address
285 W DORA ST, ANGIER, NC 27501-9542
(919) 639-9995
(919) 639-3518

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
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