Provider Demographics
NPI:1457887242
Name:DEALBUQUERQUE LACERDA, IARA (MD)
Entity Type:Individual
Prefix:
First Name:IARA
Middle Name:
Last Name:DEALBUQUERQUE LACERDA
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 1:3600 FORBES AVENUE
Mailing Address - Street 2:FORBES TOWER-PLAZA LEVEL SUITE 140
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213
Mailing Address - Country:US
Mailing Address - Phone:410-601-9000
Mailing Address - Fax:410-601-6308
Practice Address - Street 1:4401 PENN AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL OF PITTSBURGH OF UPMC
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224
Practice Address - Country:US
Practice Address - Phone:412-692-5530
Practice Address - Fax:410-601-6308
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD482219207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program