Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Leclair, NP

Individual provider Family Nurse Practitioner · NPI 1104399880

Lisa Leclair, NP is a Nurse Practitioner in Mangonia Park, Florida. Qualified in 2018, 8 years ago. Practices with Michigan Post-Acute Medical Services 1 PC, a 26-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
8
Licensed in
FL, MI
In the registry since
2019
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

993 45th St
Mangonia Park, FL 33407-2413
Phone: (561) 257-3348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6267 Duffield Rd, Flushing, MI 48433-9264 — (810) 659-5525
  • 39465 W 14 Mile Rd, Novi, MI 48377-1600 — (877) 906-9699

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704220646 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4704220646 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11014812 (FL)

Record details

NPI number1104399880
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 6, 2019
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address6267 Duffield Rd, Flushing, MI 48433-9264

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Michigan Post-Acute Medical Services 1 Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mangonia Park