Provider Demographics
NPI:1740289321
Name:LESTER H MCLACHLAN DO PA
Entity type:Organization
Organization Name:LESTER H MCLACHLAN DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES. OF PROFESSIONAL ASSOCIATION
Authorized Official - Prefix:DR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCLACHLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-544-2850
Mailing Address - Street 1:7995 66TH ST
Mailing Address - Street 2:STE C
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2163
Mailing Address - Country:US
Mailing Address - Phone:727-544-2850
Mailing Address - Fax:727-544-5044
Practice Address - Street 1:7995 66TH ST
Practice Address - Street 2:STE C
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2163
Practice Address - Country:US
Practice Address - Phone:727-544-2850
Practice Address - Fax:727-544-5044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-18
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS0001513207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
81423Medicare ID - Type Unspecified
E31983Medicare UPIN