Individual
DR. ALAN JOE LACLAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 CLAIBORNE LN, LEBANON, IN 46052-3907
(765) 481-0435
Mailing address
909 CLAIBORNE LN, LEBANON, IN 46052-3907
(765) 481-0435
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
IN01024400
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100121810
—
IN
Enumeration date
05/17/2006
Last updated
12/03/2010
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