Provider Demographics
NPI:1700124401
Name:LOIS MCLAUCHLAN
Entity type:Organization
Organization Name:LOIS MCLAUCHLAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAUCHLAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-323-0596
Mailing Address - Street 1:4939 N STATE HIGHWAY 67
Mailing Address - Street 2:
Mailing Address - City:SEDALIA
Mailing Address - State:CO
Mailing Address - Zip Code:80135-8966
Mailing Address - Country:US
Mailing Address - Phone:720-323-0596
Mailing Address - Fax:
Practice Address - Street 1:4939 N STATE HIGHWAY 67
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:CO
Practice Address - Zip Code:80135-8966
Practice Address - Country:US
Practice Address - Phone:720-323-0596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty