Individual
GARY JAMES LECLAIR
Active
Individual
GARY JAMES LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LF00001937
OR
207VG0400X
Gynecology Physician
Primary
MD09743
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233437
—
OR
Enumeration date
07/12/2006
Last updated
08/06/2013
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