Provider Demographics
NPI:1962659847
Name:MACLACHLAN, IOLA ROSEMARY (BSC)
Entity type:Individual
Prefix:MRS
First Name:IOLA
Middle Name:ROSEMARY
Last Name:MACLACHLAN
Suffix:
Gender:F
Credentials:BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 NELSON RD
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL RIVER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V9H1V1
Mailing Address - Country:CA
Mailing Address - Phone:250-923-9176
Mailing Address - Fax:250-923-1645
Practice Address - Street 1:635 NELSON RD
Practice Address - Street 2:
Practice Address - City:CAMPBELL RIVER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V9H1V1
Practice Address - Country:CA
Practice Address - Phone:250-923-9176
Practice Address - Fax:250-923-1645
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ6453680000133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist