Individual
DR. KATHERINE LOUISE MAC LEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
780 RESERVOIR AVE, SUITE 117, CRANSTON, RI 02910-4425
(401) 709-4652
Mailing address
780 RESERVOIR AVE, SUITE 117, CRANSTON, RI 02910-4425
(401) 709-4652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7475
RI
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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