Individual
DOUGLAS LECLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1677 WESTBROOK PLAZA DR, SUITE 190, WINSTON SALEM, NC 27103-3065
(336) 765-2425
(336) 765-8370
Mailing address
PO BOX 24905, WINSTON SALEM, NC 27114-4905
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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