Provider Demographics
NPI:1073856571
Name:LACLAIR, SAMANTHA (DVM)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:LACLAIR
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 COMMERCE WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3244
Mailing Address - Country:US
Mailing Address - Phone:603-433-0056
Mailing Address - Fax:603-433-0029
Practice Address - Street 1:215 COMMERCE WAY STE 100
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3244
Practice Address - Country:US
Practice Address - Phone:603-433-0056
Practice Address - Fax:603-433-0029
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1959174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian