Provider Demographics
NPI:1497313746
Name:MCCLARREN, ALAINA MARIA (DO)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:MARIA
Last Name:MCCLARREN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-2366
Mailing Address - Country:US
Mailing Address - Phone:724-953-6990
Mailing Address - Fax:
Practice Address - Street 1:555 ROUTE 217 STE 1
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-3438
Practice Address - Country:US
Practice Address - Phone:724-694-2723
Practice Address - Fax:724-694-8830
Is Sole Proprietor?:No
Enumeration Date:2019-06-02
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT019075207Q00000X
PAOS022368207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine