Provider Demographics
NPI:1952893877
Name:CORTEZ, ANA LUCIA (DO)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:LUCIA
Last Name:CORTEZ
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:LUCIA
Other - Last Name:PRASHAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:12 STONEHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6107
Mailing Address - Country:US
Mailing Address - Phone:352-638-1765
Mailing Address - Fax:
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4226
Practice Address - Country:US
Practice Address - Phone:352-638-1765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-06
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2025-000972080P0210X
MO20210244952080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology