Provider Demographics
NPI:1568953933
Name:MCLEAN, LAUREL BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:BETH
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 LASKIN RD STE 111
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6302
Mailing Address - Country:US
Mailing Address - Phone:757-425-1421
Mailing Address - Fax:757-425-0625
Practice Address - Street 1:1023 LASKIN RD STE 111
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23451-6302
Practice Address - Country:US
Practice Address - Phone:757-425-1421
Practice Address - Fax:757-425-0625
Is Sole Proprietor?:No
Enumeration Date:2018-05-22
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor