Individual
DR. ELLEN B. MCLEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L#013382
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199702
—
LA
01
—
12-00204
UNITED HEALTHCARE
LA
01
—
4013380
AETNA
LA
01
—
721072326MC1
OCHSNER/HUMANA
LA
Enumeration date
05/24/2005
Last updated
09/07/2011
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