Provider Demographics
NPI:1053581975
Name:MCLACHLAN, LINDA (MA, RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:MCLACHLAN
Suffix:
Gender:F
Credentials:MA, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-0277
Mailing Address - Country:US
Mailing Address - Phone:917-603-8498
Mailing Address - Fax:201-891-0459
Practice Address - Street 1:361 CLINTON AVE FL 2
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1902
Practice Address - Country:US
Practice Address - Phone:917-603-8498
Practice Address - Fax:201-891-0459
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered