Provider Demographics
NPI:1295917334
Name:MCLEAN, AMBER LEE (DO)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEE
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1540 LAKE LANSING RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3756
Mailing Address - Country:US
Mailing Address - Phone:517-913-3910
Mailing Address - Fax:517-913-3911
Practice Address - Street 1:1540 LAKE LANSING RD
Practice Address - Street 2:SUITE 205
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3756
Practice Address - Country:US
Practice Address - Phone:517-913-3910
Practice Address - Fax:517-913-3911
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2009-10-20
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Provider Licenses
StateLicense IDTaxonomies
MI5101016390207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1053894OtherMCLAREN HEALTH ADVANTAGE
MI1653313765OtherBLUE CARE NETWORK
MI1053894OtherMCLAREN HEALTH PLAN-MEDICAID
MI200000022041OtherPHP
MI1053894OtherMCLAREN HEALTH PLAN-COMMERCIAL
MI9603354OtherAETNA
MI200000022041OtherPHP FAMILYCARE
MI0M21440069OtherMEDICARE ADVANTAGE
MI1653313765OtherBLUE CROSS BLUE SHIELD
MI1053894OtherMCLAREN HEALTH PLAN-COMMERCIAL