Provider Demographics
NPI:1114762994
Name:LECLERC, LAUREN NICOLE (AUD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:NICOLE
Last Name:LECLERC
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 NELSON HWY STE 102
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9638
Mailing Address - Country:US
Mailing Address - Phone:984-974-2141
Mailing Address - Fax:
Practice Address - Street 1:2226 NELSON HWY STE 102
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-9638
Practice Address - Country:US
Practice Address - Phone:984-974-2141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002905231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist