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NPI Code Detail

MEDICARE: DR. SHAWN C MCLANE M.D.

MEDICARE: DR. SHAWN C MCLANE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) Physician0101051660VA
2207RP1001XPulmonary Disease Physician0101051660VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
9290011240OTHERVAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1021792OTHERVACIGNA PROVIDER NUMBER
2226104OTHERVAANTHEM HEALTHKEEPERS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4226104OTHERVAANTHEM PROVIDER NUMBER
54800263OTHERVAUNITED HEALTHCARE
67050829OTHERVAMAMSI PROVIDER NUMBER
794993OTHERVASOUTHERN HEALTH
811996OTHERVACARENET PROVIDER NUMBER
10006895400OTHERVABLACK LUNG PROVIDER NUMBE

General Provider Information

NPI Number : 1194741959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN C MCLANE M.D.
Provider Business Mailing Address
First Line : 1000 BOULDERS PKWY
Second Line : SUITE 102
City : RICHMOND
State : VA
Zip : 23225-5545
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-282-1486
Provider Business Practice Location Address
First Line : 6600 W BROAD ST STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1709
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-622-0552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 05/20/2021

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Directions to “ DR. SHAWN C MCLANE M.D.” Practice Location

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