Individual provider · Type 1 NPI
Licia Pacheco-Luna, MD
Diagnostic Radiology Physician · Baltimore, MD
NPI number
1619538014
Active · reactivated Jun 2, 2020
Practice location
600 N Wolfe St, Phipps B100F
Baltimore, MD 21287
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Diagnostic Radiology Physician Primary | 2085R0202X | D92522 (MD) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1619538014
Licia Pacheco-Luna, MD's National Provider Identifier is 1619538014, issued on Jun 26, 2019. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Baltimore, MD. The record was last updated on Jun 2, 2022.