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NPI Code Detail

MEDICARE: MR. FRANCIS H LACLAIR JR. LCSW

MEDICARE: MR. FRANCIS H LACLAIR JR. LCSW
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
11041C0700XClinical Social Worker3390KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11730407255OTHERKYNPI

General Provider Information

NPI Number : 1730407255
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANCIS H LACLAIR JR. LCSW
Provider Business Mailing Address
First Line : 1717 DIXIE HWY
Second Line : STE 412
City : FT WRIGHT
State : KY
Zip : 41011-2766
Country : US
Telephone Number : 513-445-3638
Fax Number : 859-818-0796
Provider Business Practice Location Address
First Line : 1717 DIXIE HWY
Second Line : STE 412
City : FT WRIGHT
State : KY
Zip : 41011-2766
Country : US
Telephone Number : 513-445-3638
Fax Number : 859-818-0796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2010
Last Update Date : 04/07/2020

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