Individual
MS. RACHEL LEMAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
721 AMERICAN AVENUE, SUITE 304, WAUKESHA, WI 53188
(262) 549-2229
(262) 549-1657
Mailing address
721 AMERICAN AVENUE, SUITE 304, WAUKESHA, WI 53188
(262) 549-2229
(262) 549-1657
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
085003914
IL
363AM0700X
Medical Physician Assistant
Primary
2440-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12006221
CAQH
—
05
—
1497983092
—
WI
Enumeration date
06/23/2009
Last updated
03/07/2023
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