Provider Demographics
NPI:1245376326
Name:MCLAUCHLAN, LOIS (MD)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:
Last Name:MCLAUCHLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 PEAK ONE DR
Mailing Address - Street 2:STE 260
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443
Mailing Address - Country:US
Mailing Address - Phone:970-668-5771
Mailing Address - Fax:970-262-2196
Practice Address - Street 1:360 PEAK ONE DR
Practice Address - Street 2:STE 260
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443
Practice Address - Country:US
Practice Address - Phone:970-668-5771
Practice Address - Fax:970-262-2196
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO29631207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01296318Medicaid
CO160056858OtherMEDICARE ID
COE21800Medicare UPIN
COC364278Medicare PIN