Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 50690 | CO |
N | 207Q00000X | Family Doctor | P1212 | TX |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | DR.0050690 | CO |
NPI | 1184959157 |
---|---|
Provider Name | Dr. Rachel Lucile Rackler |
First Address | Denver, CO 80247-1314 |
Second Address | Aurora, CO 80014-1622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2009 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
028891 | KAISER COMMERCIAL NUMBER (01) | CO |
384713929 | (05) | CO |