Individual
ALEXANDRA JUNE LACLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5720
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5720
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06543879
—
NY
Enumeration date
04/23/2021
Last updated
09/16/2022
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