| Doctor Name: | ELEANOR JANE LACLAIR |
| NPI Number: | 1215186101 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 304996 |
| Business Practice Address: | 1043 Oaklawn Dr Culpeper, VA - 227013339 |
| Business Phone Number: | 5408256263 |
| Business Fax Number: | 5408254911 |
| Mailing Address: | Po Box 9007, CHARLOTTESVILLE |
| State: | VA |
| Postal Code: | 229069007 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2008 |
| NPI Last Update Date: | 01/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 304996 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |