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Dr. Theodore Raymond Pacheco, M.D.

Internal Medicine, Cardiovascular Disease in Lorain, OH. Individual provider (NPI-1).

NPI number1023097201
StatusActive
Last updated in NPPESJan 7, 2021

Details

NPI
1023097201
Entity type
Individual (NPI-1)
Name
Dr. Theodore Raymond Pacheco
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 16, 2006
Certification date
Jan 7, 2021
Last updated
Jan 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular Disease35065306OHYes

Practice location

3600 Kolbe Rd
Suite 127
Lorain, OH 44053-1654

Phone 440-414-9200 · Fax 216-201-5582

Mailing address

3600 Kolbe Rd
Suite 127
Lorain, OH 44053-1654

Phone 440-414-9200 · Fax 216-201-5582

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