Individual
MRS. MALLORIE RENE LOTYCZ RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 ASTON AVE STE 100, CARLSBAD, CA 92008-7399
(760) 766-1923
Mailing address
9605 NW 26TH CT, CORAL SPRINGS, FL 33065-4987
(419) 360-0284
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9107065
FL
Other
Enumeration date
01/27/2013
Last updated
04/13/2025
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