Douglas Leclair, CO

NPI #1194070961 in Winston Salem, North Carolina

Provider Information

NPI Number: 1194070961
Entity Type: Individual
Name: Douglas Leclair, CO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Orthotist
Credential: CO
Enumeration Date: Jul 18, 2012
Last Updated: Jul 18, 2012

Practice Location

Address: 1677 WESTBROOK PLAZA DR
Address 2: SUITE 190
City: Winston Salem
State: North Carolina
ZIP Code: 27103-3065
Phone: (336) 765-2425

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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