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Individual

MR. MCLEAN JOHNSON ROMAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1001 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 330-6000
(606) 330-6536
Mailing address
740 E LAUREL RD, LONDON, KY 40741-8601
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45488
KY
207R00000X
Internal Medicine Physician
MT196138
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100224800
KY
Enumeration date
08/19/2009
Last updated
12/17/2018
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