Provider Demographics
NPI:1316260466
Name:PACHECO, LORENA SONIA (RD)
Entity type:Individual
Prefix:MISS
First Name:LORENA
Middle Name:SONIA
Last Name:PACHECO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7830 CLAIREMONT MESA BLVD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-1619
Mailing Address - Country:US
Mailing Address - Phone:858-279-5124
Mailing Address - Fax:858-279-6053
Practice Address - Street 1:7830 CLAIREMONT MESA BLVD
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1619
Practice Address - Country:US
Practice Address - Phone:858-279-5124
Practice Address - Fax:858-279-6053
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered