Provider Demographics
NPI:1669042123
Name:LEMUS, RACHEL MICHELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:MICHELLE
Last Name:LEMUS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5482 SUMMERLAND DR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-9611
Mailing Address - Country:US
Mailing Address - Phone:515-297-3787
Mailing Address - Fax:
Practice Address - Street 1:4015 HURST DR
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50701-9035
Practice Address - Country:US
Practice Address - Phone:319-224-0847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-09918122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist