Most Relevant Information
Provider Data
NPI Number: | 1003254905 |
Provider Name: | LACHLAN CHRISTIAN MCLEAN D.M.D |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 06/13/2013 |
Last Updated: | 03/13/2014 |
Provider Practice Location
1625 SAINT LOUIS AVENUE
FORT WORTH
TX
76104
Practice Location Phone/Fax
Phone: | 8179206936 |
Fax: | 8179271497 |
Provider Mailing Location
1625 SAINT LOUIS AVENUE
FORT WORTH
TX
76104
Provider Mailing Phone/Fax
Phone: | 8179206936 |
Fax: | 8179271497 |