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Individual

ROBERT LYNN MCLACHLAN I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
401 S TUSTIN ST BLDG C, ORANGE, CA 92866-2550
(714) 361-4860
Mailing address
401 S TUSTIN ST BLDG C, ORANGE, CA 92866-2550

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
954864640
COMMUNITY BASE SERVICE
CA
Enumeration date
01/18/2018
Last updated
01/18/2018
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