Provider Demographics
NPI:1346293297
Name:MCLAREN, ANN LESLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:LESLEY
Last Name:MCLAREN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:531 PEBBLE BROOK LN
Mailing Address - Street 2:HMAI
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-7609
Mailing Address - Country:US
Mailing Address - Phone:618-779-5508
Mailing Address - Fax:618-206-8588
Practice Address - Street 1:6125 CLAYTON AVE
Practice Address - Street 2:STE 222
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-3265
Practice Address - Country:US
Practice Address - Phone:314-768-3685
Practice Address - Fax:314-768-3940
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2009-01-07
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Provider Licenses
StateLicense IDTaxonomies
MOR9664207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201413028Medicaid
MO201413028Medicaid
A12934Medicare UPIN