Individual
MRS. LYNN A. LECLERC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
113 WILLBROOK BLVD UNIT F, PAWLEYS ISLAND, SC 29585-8245
(433) 536-0158
(843) 594-5149
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20845
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4806
—
SC
Enumeration date
04/11/2017
Last updated
06/24/2021
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