DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA LECLAIR, NP

Active Sole Proprietor

LISA LECLAIR, NP is a Nurse Practitioner healthcare provider located in MANGONIA PARK, Florida. NPI 1104399880 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · MANGONIA PARK, FL

Registration Details

NPI Number
1104399880
Provider Type
Individual
Gender
Female
NPI Issued
Jan 6, 2019 (7.5746346641985 yrs)
Last Updated
Jan 3, 2024
Licenses
4704220646 (MI)
APRN11014812 (FL)
4704220646 (MI)
Sole Proprietor
Yes

Practice Information

Address
993 45TH ST
MANGONIA PARK, FL, 334072413
Browse FL providers · Browse ZIP 33407
Phone
5612573348
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in MANGONIA PARK, FL

Name Credential NPI
DR. SHANNON M. KEATING APRN 1447239215
JESSICA ROSE JONES ARNP 1487104980
MARIELA RIEGGER APRN 1114561164
BRITTANY KEATTS 1649801101
TARA GOLDSMITH 1174290779
PIILANI CRYSTAL RILEY FNP 1427788637
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.