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Individual

DR. RACHEL LUELLA WAYNE

Active
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Individual

DR. RACHEL LUELLA WAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
E-4813
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
177554001
AR
01
376782
MEDICARE
AR
01
686473
MEDICARE ID# FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC
AR
Enumeration date
08/29/2006
Last updated
04/17/2019
Update your record

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