Doctor Name: | JUNE DENISE MCLACHLAN |
NPI Number: | 1063598035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP |
License Number: | R133748-5 |
Business Practice Address: | 927 Trettle Lane Fond Du Lac Human Services Division Cloquet, MN - 55720 |
Business Phone Number: | 2188791227 |
Business Fax Number: | 2188782188 |
Mailing Address: | 3891 Lavaque Rd, HERMANTOWN |
State: | MN |
Postal Code: | 558113658 |
Phone Number: | 2187297248 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R133748-5 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |