Individual
LARRY KEITH LACLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MACMILLAN DRIVE, BRUNSWICK, ME 04011-3222
(207) 725-8008
Mailing address
25 MACMILLAN DRIVE, BRUNSWICK, ME 04011-3222
(207) 725-8008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12081
ME
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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