Individual
JOHN L MCLEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1607 SOUTH LOCUST AVE, LAWRENCEBURG, TN 38464
(615) 620-2320
Mailing address
PO BOX 440013, NASHVILLE, TN 37244-0013
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD37375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01069632
AMERIGROUP TENNCARE ONLY
TN
05
—
3384834
—
TN
01
—
4059473
BLUE CROSS/BLUE SHIELD OF TN
TN
Enumeration date
11/17/2006
Last updated
08/05/2010
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