Provider Demographics
NPI:1790996247
Name:MCLAUGHLIN, LARRY N
Entity Type:Individual
Prefix:MR
First Name:LARRY
Middle Name:N
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 KINGS DR
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NC
Mailing Address - Zip Code:27288-5837
Mailing Address - Country:US
Mailing Address - Phone:336-552-2674
Mailing Address - Fax:
Practice Address - Street 1:420 KINGS DR
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5837
Practice Address - Country:US
Practice Address - Phone:336-552-2674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle