MEDICARE: PAMELA LECLAIRE MD, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	D0059903	MD

General Provider Information

NPI Number	:	1770597122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAMELA LECLAIRE MD, LLC

Provider Business Mailing Address
First Line	:	213 NORTH ST
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21921-5512
Country	:	US
Telephone Number	:	410-398-4679
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 E CECIL AVE
Second Line	:
City	:	NORTH EAST
State	:	MD
Zip	:	21901-4008
Country	:	US
Telephone Number	:	410-398-4679
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	JESSICA CORNELL
Credential	:
Telephone Number	:	410-398-4679

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1518098953 — REBECCA A ALLEN L.AC
Practice Location Address:

102B E CECIL AVE
NORTH EAST, MD
21901-4008

Practice Phone: 410-287-9110
Practice Fax:

1346288693 — DR. JEFFREY A MAZLIN M.D.
Practice Location Address:

144 EAST 44TH STREET , STE 225
NEW YORK, NY
10017-4008

Practice Phone: 212-308-4988
Practice Fax: 212-949-4034

1952604514 — BRENDA WHITE WYNN
Practice Location Address:

2582 ROLLING BROOK TRL
EAST POINT, GA
30344-4008

Practice Phone: 404-669-0271
Practice Fax:

1609159383 — MR. GARY WILLIAM QUICK
Practice Location Address:

4008 S 135TH EAST AVE
TULSA, OK
74134-5612

Practice Phone: 858-829-1690
Practice Fax:

1407120389 — DR. BENITA LA GATTUTA D.C.
Practice Location Address:

37 FOOTHILL LN
EAST NORTHPORT, NY
11731-4008

Practice Phone: 631-266-3233
Practice Fax:

1376508853 — MRS. DONNA J BERGERON MSH ORTL CHT
Practice Location Address:

4008 GASTER AVE
NORTH LAS VEGAS, NV
89081-6696

Practice Phone: 702-704-4440
Practice Fax:

Directions to “PAMELA LECLAIRE MD, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.