Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 64526 | CA |
N | 204E00000X | Oral & Maxillofacial Surgeon | 136733 | CA |
NPI | 1033353511 |
---|---|
Provider Name | Dr. Rachel Lynne Appelblatt |
First Address | South Lake Tahoe, CA 96150-3358 |
Second Address | South Lake Tahoe, CA 96150-3358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 01/09/2016 |