Individual
MS. CHRISTA JOY LACLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 847-0100
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02684
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730483199
—
NC
01
—
177J2
BCBS OF NC
NC
01
—
NCY0820322
MEDICARE
NC
Enumeration date
12/28/2010
Last updated
02/16/2024
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