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Individual
MICA NGOC LAN LACLAIR
Active
Individual
MICA NGOC LAN LACLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
163W00000X
Registered Nurse
Primary
10002172
OR
Other
Enumeration date
05/01/2023
Last updated
04/17/2025
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