Provider Demographics
NPI:1932723426
Name:MCLAUCHLIN, LEXA
Entity Type:Individual
Prefix:
First Name:LEXA
Middle Name:
Last Name:MCLAUCHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2980 W HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-5622
Mailing Address - Country:US
Mailing Address - Phone:931-239-3358
Mailing Address - Fax:
Practice Address - Street 1:2980 W HAVEN DR
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-5622
Practice Address - Country:US
Practice Address - Phone:931-239-3358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty