Individual
CYNTHIA L LECLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.N.P
Contact information
Practice address
3310 45TH ST, TWO RIVERS, WI 54241-1049
(920) 793-3900
(920) 793-1542
Mailing address
PO BOX 2290, MANITOWOC, WI 54221-2290
(920) 320-2840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43936600
—
WI
Enumeration date
08/21/2006
Last updated
06/16/2008
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