Provider Demographics
NPI:1891891982
Name:MCKEAN, LAWRENCE PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:PATRICK
Last Name:MCKEAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5555 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 235
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1703
Mailing Address - Country:US
Mailing Address - Phone:404-255-2918
Mailing Address - Fax:404-250-0162
Practice Address - Street 1:17 EXECUTIVE PRK DRIVE NE
Practice Address - Street 2:SUITE 250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-2220
Practice Address - Country:US
Practice Address - Phone:678-904-4390
Practice Address - Fax:678-904-4395
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-11-22
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Provider Licenses
StateLicense IDTaxonomies
GA032239207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAE99459Medicare UPIN