Individual
LAUREN LECLERCQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
179 W MICHIGAN AVE STE A, PAW PAW, MI 49079-1444
(269) 359-1346
(630) 303-5385
Mailing address
179 W MICHIGAN AVE STE A, PAW PAW, MI 49079-1444
(269) 359-1346
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
147.001773
IL
231H00000X
Audiologist
Primary
1601001058
MI
Other
Enumeration date
07/01/2020
Last updated
07/17/2023
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