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Individual
LISA LECLAIR
Active
Individual
LISA LECLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704220646
MI
363LF0000X
Family Nurse Practitioner
4704220646
MI
363LF0000X
Family Nurse Practitioner
APRN11014812
FL
Other
Enumeration date
01/06/2019
Last updated
01/03/2024
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