Individual provider · NPI-1

Roger Lota Baldoza, MD

Internal Medicine · Elyria, OH

NPI number1356313324
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1356313324
Entity type
Individual (NPI-1)
Name
Roger Lota Baldoza
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Feb 3, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35033009OHYes

Practice location

511 South Abbe Road
Suite C
Elyria, OH 44035-6301

Phone 440-366-6640 · Fax 440-366-5130

Mailing address

511 South Abbe Road
Suite C
Elyria, OH 44035-6301

Phone 440-366-6640 · Fax 440-366-5130

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