Individual
DR. LAURIE WHITTAKER LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-1158
(802) 847-6961
Mailing address
29 TYLER PL, JERICHO, VT 05465-4424
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42-0010481
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02338585
—
NY
05
—
1009238
—
VT
Enumeration date
08/13/2006
Last updated
11/18/2021
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