Provider Demographics
NPI:1669565339
Name:MCALILEY, LAUREN GAIL (MSN, MA, CNP)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:GAIL
Last Name:MCALILEY
Suffix:
Gender:F
Credentials:MSN, MA, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:19567 CYCLONE DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-1704
Mailing Address - Country:US
Mailing Address - Phone:216-362-6128
Mailing Address - Fax:
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:RB&C 6001
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-8541
Practice Address - Fax:216-844-5179
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics