Individual
DR. RAELYNN M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 499-7288
(949) 499-7248
Mailing address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 499-7288
(949) 499-7248
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
A77146
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A77146
CA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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