Individual provider · Type 1 NPI
Lisa Ruth McLean, PA-C
Medical Physician Assistant · Allen Park, MI
NPI number
1114476140
Active
Practice location
17500 Federal Dr Ste 750
Allen Park, MI 48101-3656
Fax (313) 982-1376
Other practice locations
- 301 Industrial Rd, San Carlos, CA 94070-2603 · (650) 596-4000
- 14911 National Ave, Los Gatos, CA 95032-2632 · (408) 358-3511
- 1998 Market St, San Francisco, CA 94102 · (415) 792-4060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 5601008938 (MI) |
| Medical Physician Assistant | 363AM0700X | PA53731 (CA) |
| Medical Physician Assistant Primary | 363AM0700X | 5601008938 (MI) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Allen Park
About NPI 1114476140
Lisa Ruth McLean, PA-C's National Provider Identifier is 1114476140, issued on Oct 3, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Allen Park, MI. The record was last updated on Apr 29, 2021.