MEDICARE: PAUL ALLEN LACLAIR MD

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	208100000X	Physical Medicine & Rehabilitation Physician	4301072856	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	2507311471	OTHER	BCBSM
2	0993973	OTHER	HEALTHPLUS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265517452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL ALLEN LACLAIR MD

Provider Business Mailing Address
First Line	:	4901 TOWNE CENTRE RD
Second Line	:	STE 300
City	:	SAGINAW
State	:	MI
Zip	:	48604-2841
Country	:	US
Telephone Number	:	989-498-5100
Fax Number	:	989-498-5122

Provider Business Practice Location Address
First Line	:	4901 TOWNE CENTRE RD
Second Line	:	STE 300
City	:	SAGINAW
State	:	MI
Zip	:	48604-2841
Country	:	US
Telephone Number	:	989-498-5100
Fax Number	:	989-498-5122

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	06/06/2024

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Directions to “ PAUL ALLEN LACLAIR MD” Practice Location

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