Provider Demographics
NPI:1003532615
Name:LECLEIR, CLIFFORD FRANKLIN
Entity Type:Individual
Prefix:MR
First Name:CLIFFORD
Middle Name:FRANKLIN
Last Name:LECLEIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:N2487 NUTTLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-2743
Mailing Address - Country:US
Mailing Address - Phone:608-452-4688
Mailing Address - Fax:
Practice Address - Street 1:1580 HERITAGE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:WEST SALEM
Practice Address - State:WI
Practice Address - Zip Code:54669-9417
Practice Address - Country:US
Practice Address - Phone:608-518-3410
Practice Address - Fax:608-518-3688
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty