Organization
PAMELA LECLAIRE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CORNELL (CREDENTIALING)
(410) 398-4679
Entity
Organization
Contact information
Practice address
104 E CECIL AVE, NORTH EAST, MD 21901-4008
(410) 398-4679
Mailing address
213 NORTH ST, ELKTON, MD 21921-5512
(410) 398-4679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0059903
MD
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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