Provider Demographics
NPI:1467730200
Name:PEREIRA, LIONEL ELIAS (MD)
Entity Type:Individual
Prefix:MR
First Name:LIONEL
Middle Name:ELIAS
Last Name:PEREIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 ELM ST STE 204
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1844
Mailing Address - Country:US
Mailing Address - Phone:603-851-3801
Mailing Address - Fax:
Practice Address - Street 1:1045 ELM ST STE 204
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1844
Practice Address - Country:US
Practice Address - Phone:603-851-3801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-27
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2652972084P0800X, 2084P0804X
NH202192084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry