Healthcare Provider Details

I. General information

NPI: 1417891490
Provider Name (Legal Business Name): LEAH RENEE LECLAIR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E LEIGH ST
RICHMOND VA
23298-5004
US

IV. Provider business mailing address

1001 E LEIGH ST
RICHMOND VA
23298-5004
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-4409
  • Fax: 804-806-7588
Mailing address:
  • Phone: 804-828-4409
  • Fax: 804-806-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0116041901
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: