Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | G74058 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G74058 | CA |
NPI | 1801823547 |
---|---|
Provider Name | Dr. Lynn K. Mclean |
First Address | Loma Linda, CA 92354-2804 |
Second Address | Loma Linda, CA 92354-2804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 13/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G740580 | (05) | CA |
00G740581 | (05) | CA |
C78306 | (02) | CA |