Individual
KATARINA LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(855) 495-5457
Mailing address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(855) 495-5457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704274377
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704274377
LICENSE
MI
Enumeration date
10/10/2018
Last updated
10/10/2018
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