Individual
LYLE JOHN RAUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD MD
Contact information
Practice address
3060 BROADWAY ST, REDWOOD CITY, CA 94062
(650) 361-1177
(650) 361-1826
Mailing address
1039 TWIN OAK CT, REDWOOD CITY, CA 94061
(650) 361-1329
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G45490
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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