LISA LECLAIR (NPI# 1104399880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104399880 |
| Entity Type | Individual |
| Full Name | LISA LECLAIR |
| Credential | NURSE PRACTITIONER |
| Practice Address |
6267 Duffield Rd Flushing MI 48433-9264 |
| Practice Telephone | 8106595525 |
| Mailing Telephone | 8106595525 |
| Enumeration Date | 2019-01-06 |
| Last Update Date | 2019-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704220646 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6267 DUFFIELD RD |
| City | FLUSHING |
| State | MI |
| Zip Code | 48433-9264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611467 | Summer A Bates | Nurse Practitioner | 1459 S. Center Rd, Burton, MI 48433 | 2012-09-18 |
| 1982965083 | David Shorez | Dentist | 6221 W. Pierson Rd, Flushing, MI 48433 | 2012-06-05 |
| 1740540434 | Jennifer Marie Shorez | Dentist | 6221 W. Pierson Rd., Flushing, MI 48433 | 2012-05-29 |
| 1174826069 | Jon L. Schriner, D.o PC | Respite Care | G-6045 West Pierson Rd, Flushing, MI 48433 | 2010-12-15 |
| 1154503993 | Ruelan Back and Neck Care Center Pllc | Chiropractor | G-6390 W Pierson Rd, Flushing, MI 48433 | 2007-12-04 |
| 1023130937 | Kimberly Christine Blakeslee | Dentist | 6221 W Pierson Road, Flushing, MI 48433 | 2007-04-04 |
| 1679636088 | Flushing Optical Inc | Optometrist | 105 S. Cherry Street, Flushing, MI 48433 | 2006-12-18 |
| 1245304161 | William Michael Trosko | Counselor | 1434 Flushing Road, Flushing, MI 48433 | 2006-11-20 |
| 1740211820 | Natalya A Brezden Dds Pllc | Dentist | G-6221 W Pierson Rd, Flushing, MI 48433 | 2006-07-06 |
| 1487621892 | Pharma Care Inc | Clinical Medical Laboratory | 209 S Cherry St, Flushing, MI 48433 | 2006-03-03 |
| Find all providers in zip 48433 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317085 | Eun Mi Lee | Nurse Practitioner | 15015 Sanford Ave Apt 4a, Flushing, NY 11355-1006 | 2020-08-19 |
| 1386282507 | Eun Sook Yoon | Nurse Practitioner | 19214 Northern Blvd # 2f, Flushing, NY 11358-2955 | 2019-12-18 |
| 1154965291 | Wei Gu | Nurse Practitioner | 13617 39th Ave # Cf-e, Flushing, NY 11354-5504 | 2019-11-01 |
| 1548734833 | Xiaomeng Du | Nurse Practitioner | 13545 Roosevelt Ave # 8g, Flushing, NY 11354-5336 | 2019-01-20 |
| 1427571595 | Dorothy Raczkowski | Nurse Practitioner | 2714 172nd St, Flushing, NY 11358-1140 | 2017-07-20 |
| 1417484023 | Kelly Alyson Saikum | Nurse Practitioner | 19916 33rd Ave, Flushing, NY 11358-1906 | 2017-05-12 |
| 1649711375 | Maggie Jiang | Nurse Practitioner | 13620 38th Ave Ste 5h, Flushing, NY 11354-4232 | 2017-03-14 |
| 1427505080 | Lio Batyrova | Nurse Practitioner | 150-43 78th Avenue, Flushing, NY 11367 | 2016-09-01 |
| 1952799033 | Abby N Fashakin | Nurse Practitioner | 7838 Parsons Blvd, Flushing, NY 11366-1930 | 2014-12-24 |
| 1811396146 | Qiuchen Huang | Nurse Practitioner | 3011 Parsons Blvd Apt 5n, Flushing, NY 11354-2362 | 2014-08-22 |
| Find all providers in FLUSHING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.