Provider Demographics
NPI:1518298272
Name:MCLAREN CEVALLOS, LOLA (MD)
Entity type:Individual
Prefix:DR
First Name:LOLA
Middle Name:
Last Name:MCLAREN CEVALLOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:LOLA
Other - Last Name:CEVALLOS ALOMIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1598 S COUNTY TRL STE 201
Mailing Address - Street 2:
Mailing Address - City:E GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1762
Mailing Address - Country:US
Mailing Address - Phone:401-884-0333
Mailing Address - Fax:401-884-0096
Practice Address - Street 1:1598 S COUNTY TRL STE 201
Practice Address - Street 2:
Practice Address - City:E GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1762
Practice Address - Country:US
Practice Address - Phone:401-884-0333
Practice Address - Fax:401-884-0096
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD14764207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine