Provider Demographics
NPI:1871812933
Name:MCLAUGHLIN, ERICA KAY (MD)
Entity type:Individual
Prefix:DR
First Name:ERICA
Middle Name:KAY
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERICA
Other - Middle Name:KAY
Other - Last Name:LOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5605 W EUGIE AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-1273
Mailing Address - Country:US
Mailing Address - Phone:480-756-0000
Mailing Address - Fax:855-636-8770
Practice Address - Street 1:5605 W EUGIE AVE STE 111
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1273
Practice Address - Country:US
Practice Address - Phone:480-756-0000
Practice Address - Fax:855-636-8770
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-27
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46936207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ913007Medicaid
AZ46936OtherMEDICAL LICENSEL