Provider Demographics
NPI:1578688305
Name:MCLACHLAN, LESTER HOMER (DO)
Entity Type:Individual
Prefix:DR
First Name:LESTER
Middle Name:HOMER
Last Name:MCLACHLAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7995 66TH ST
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2163
Mailing Address - Country:US
Mailing Address - Phone:727-544-2850
Mailing Address - Fax:727-544-5044
Practice Address - Street 1:7995 66TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2163
Practice Address - Country:US
Practice Address - Phone:727-544-2850
Practice Address - Fax:727-544-5044
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS1513207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE31983Medicare UPIN
FL81423Medicare ID - Type Unspecified