Individual
DR. SHAWN C MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6600 W BROAD ST STE 300, RICHMOND, VA 23230-1709
(804) 320-4243
(804) 622-0552
Mailing address
1000 BOULDERS PKWY, SUITE 102, RICHMOND, VA 23225-5545
(804) 320-4243
(804) 282-1486
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101051660
VA
207RP1001X
Pulmonary Disease Physician
Primary
0101051660
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005822581
—
VA
01
—
006895400
BLACK LUNG PROVIDER NUMBE
VA
01
—
021792
CIGNA PROVIDER NUMBER
VA
01
—
11996
CARENET PROVIDER NUMBER
VA
01
—
226104
ANTHEM HEALTHKEEPERS
VA
01
—
290011240
MEDICARE RAILROAD
VA
01
—
4800263
UNITED HEALTHCARE
VA
01
—
7050829
MAMSI PROVIDER NUMBER
VA
01
—
94993
SOUTHERN HEALTH
VA
Enumeration date
07/14/2006
Last updated
05/20/2021
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