Individual
ELEANOR JANE LACLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
133 PARK ST, MALONE, NY 12953-1244
(518) 483-3000
Mailing address
133 PARK ST, MALONE, NY 12953-1244
(518) 483-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024171721
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
304996
NY
Other
Enumeration date
09/16/2008
Last updated
04/06/2023
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