Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 01073055A | IN |
Y | 2080P0205X | Pediatric Endocrinologist | 35.095025 | OH |
NPI | 1295852739 |
---|---|
Provider Name | Lindsey B. Rauch |
First Address | Toledo, OH 43608-2675 |
Second Address | Toledo, OH 43608-2675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2007 |
Last Update Date | 15/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201195070 | (05) | IN |