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General NPI Number Information
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NPI Number | 1801823547
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Entity Type | Individual
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Provider Name | LYNN K. MCLEAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 11234 ANDERSON ST STE 3400
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City | LOMA LINDA
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State | CA
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Zip | 92354-2804
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Country | US
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Telephone | 909-558-4771
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Fax |
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Provider Business Mailing Address
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Address Line | 11234 ANDERSON ST STE 3400
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City | LOMA LINDA
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State | CA
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Zip | 92354-2804
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Country | US
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Telephone | 909-558-4771
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G074058
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | G74058
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | G74058
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License Number State | CA
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