| Doctor Name: | ALICE MCLANE |
| NPI Number: | 1083665715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | 0341412303 |
| Business Practice Address: | 2 Broadway Ave Gorham, NH - 035811502 |
| Business Phone Number: | 6034662741 |
| Business Fax Number: | 6034662953 |
| Mailing Address: | 133 Pleasant St, BERLIN |
| State: | NH |
| Postal Code: | 035702006 |
| Phone Number: | 6037522040 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 08/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0341412303 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |