MEDICARE: LACHLAN MACLEAY JR. 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
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A43788	CA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD2021-1022	NM
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME161572	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215023767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LACHLAN MACLEAY JR. M.D.

Provider Business Mailing Address
First Line	:	BAPTIST MEDICAL CENTER CLAY
Second Line	:	1771 BAPTIST CLAY DR.
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003
Country	:	US
Telephone Number	:	904-516-1273
Fax Number	:	904-516-1534

Provider Business Practice Location Address
First Line	:	1771 BAPTIST CLAY DR
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-8501
Country	:	US
Telephone Number	:	904-516-1273
Fax Number	:	904-516-1534

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/16/2024

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