Healthcare Provider Details

I. General information

NPI: 1245360841
Provider Name (Legal Business Name): CATHERINE M MCLACHLIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 WINDERMERE RD
LONDON ON
N6A5A5
CA

IV. Provider business mailing address

847 DRIFTWOOD ROAD
LONDON ON
N6H4H9
CA

V. Phone/Fax

Practice location:
  • Phone: 519-667-6837
  • Fax:
Mailing address:
  • Phone: 519-667-6837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number75880
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: