Provider Demographics
NPI:1083941017
Name:MACLAUCHLAN, JOAN MARIE (LPN)
Entity Type:Individual
Prefix:
First Name:JOAN MARIE
Middle Name:
Last Name:MACLAUCHLAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 HAMPSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1118
Mailing Address - Country:US
Mailing Address - Phone:978-258-7026
Mailing Address - Fax:
Practice Address - Street 1:173 HAMPSHIRE RD
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1118
Practice Address - Country:US
Practice Address - Phone:978-258-7026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN86007164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse