Individual
MR. GILBERT A LEFORT II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MBA, ATC, EMT
Contact information
Practice address
100 INSTITUTE RD, WORCESTER, MA 01609-2247
(508) 831-5000
Mailing address
17 BROWNS BROOK RD, WEBSTER, MA 01570-3404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1602
MA
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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