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Individual

MICHAEL MCLANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1241 BLAKESLEE BOULEVARD DR E STE 3, LEHIGHTON, PA 18235-2401
(570) 645-1020
(570) 645-1021
Mailing address
1241 BLAKESLEE BOULEVARD DR E STE 3, LEHIGHTON, PA 18235-2401
(570) 645-1020
(570) 645-1021

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT016362
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS021324
PA

Other

Enumeration date
06/10/2015
Last updated
06/22/2021
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