Search › California › 207R00000X
Le Lac, DO
NPI 1831893569 · on the registry since 2023
Practice
- Address
- 2261 Douglas Blvd
Roseville, CA 95661 - Phone
- (916) 791-0922
- Fax
- (916) 791-0905
- Clinicians at this address
- 24
Additional practice sites
- 1 Medical Plaza Dr, Roseville, CA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California