Provider Demographics
NPI:1447205034
Name:LECLERC, DAVID LOUIS (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LOUIS
Last Name:LECLERC
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 LITTLETON RD
Mailing Address - Street 2:UNIT B. STE. 1A
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3596
Mailing Address - Country:US
Mailing Address - Phone:978-692-2900
Mailing Address - Fax:
Practice Address - Street 1:234 LITTLETON RD
Practice Address - Street 2:UNIT B. STE. 1A
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3596
Practice Address - Country:US
Practice Address - Phone:978-692-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3051111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor