Individual
JOHN J MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7045 YOUREE DR, SHREVEPORT, LA 71105-5108
(318) 798-3763
(318) 798-2267
Mailing address
8234 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119
(318) 638-8114
(318) 638-8114
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
019455
LA
Other
Enumeration date
06/07/2006
Last updated
11/22/2010
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