Provider Demographics
NPI:1013718576
Name:LECLERC, VEDA
Entity type:Individual
Prefix:
First Name:VEDA
Middle Name:
Last Name:LECLERC
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-1645
Mailing Address - Country:US
Mailing Address - Phone:207-376-5459
Mailing Address - Fax:
Practice Address - Street 1:800 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-1645
Practice Address - Country:US
Practice Address - Phone:207-376-5459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach