Provider Demographics
NPI:1417148206
Name:PACHECO, LOUIS LAFIELD (AP, DOM)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:LAFIELD
Last Name:PACHECO
Suffix:
Gender:M
Credentials:AP, DOM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:12251 TAFT ST
Mailing Address - Street 2:SUITE# 303
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-1901
Mailing Address - Country:US
Mailing Address - Phone:954-322-1421
Mailing Address - Fax:954-322-1729
Practice Address - Street 1:12251 TAFT ST
Practice Address - Street 2:SUITE# 303
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026-1901
Practice Address - Country:US
Practice Address - Phone:954-322-1421
Practice Address - Fax:954-322-1729
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAP1515171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist