Provider Demographics
NPI:1265552798
Name:MCKEIGAN, LAUCHLIN WAYNE (DC)
Entity type:Individual
Prefix:DR
First Name:LAUCHLIN
Middle Name:WAYNE
Last Name:MCKEIGAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 S MORELAND BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-2397
Mailing Address - Country:US
Mailing Address - Phone:216-751-8988
Mailing Address - Fax:216-751-8990
Practice Address - Street 1:2775 S MORELAND BLVD FL 3
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-2397
Practice Address - Country:US
Practice Address - Phone:216-751-8988
Practice Address - Fax:216-751-8990
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2293890Medicaid
OH488503Medicare UPIN
OHMC04065533Medicare ID - Type Unspecified