Provider Demographics
NPI:1326041062
Name:PEREIRAS, LILIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:LILIA
Middle Name:A
Last Name:PEREIRAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. JUDE CHILDREN'S RESEARCH HOSPITAL
Mailing Address - Street 2:332 N LAUDERDALE ST., MS 0515
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38105-2794
Mailing Address - Country:US
Mailing Address - Phone:901-495-3006
Mailing Address - Fax:901-495-3842
Practice Address - Street 1:ST. JUDE CHILDREN'S RESEARCH HOSPITAL
Practice Address - Street 2:332 N LAUDERDALE ST., MS 0515
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-2794
Practice Address - Country:US
Practice Address - Phone:901-495-3006
Practice Address - Fax:901-495-3842
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38867207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08085224Medicaid
OH2591020Medicaid
KY64097165Medicaid
SCQ38867Medicaid
TN5440425Medicaid
LA1470775Medicaid
OH2591020Medicaid