Mclachlan, Nicola L

Mclachlan, Nicola L is an individual health care provider with primary practice located at Lakeside Pediatric & Adolescent Medicine 980 W Ironwood Drive Suite 302, Coeur D Alene ID 83814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mclachlan, Nicola L can be contacted via phone (208) 667-0585.

Contact Information

Primary practice address
Lakeside Pediatric & Adolescent Medicine 980 W Ironwood Drive Suite 302 Coeur D Alene ID 83814
Phone: (208) 667-0585
Fax: (208) 667-0876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP628A Idaho

Profile Details

NPI number 1720164122
LBN Legal business name Mclachlan, Nicola L
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Apr 10th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720164122 NPPES
Idaho Other 000010144440 REGENCE BLUE SHIELD
Idaho MEDICAID NP177ID REGENCE BLUE SHIELD
Idaho MEDICAID 806680100 REGENCE BLUE SHIELD
Idaho MEDICAID 1720164122 REGENCE BLUE SHIELD
Idaho MEDICAID 9645888 REGENCE BLUE SHIELD
Idaho Other NPKM0 REGENCE BLUE SHIELD
Idaho Other NPPS9 REGENCE BLUE SHIELD
Idaho Other 000010144441 REGENCE BLUE SHIELD

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