Individual
DR. JOHN WILLIAM LEFEVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 GLASGOW ST, CLYDE, NY 14433-0133
(315) 923-3231
Mailing address
PO BOX 133, 105 GLASGOW ST, CLYDE, NY 14433-0133
(315) 923-3231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
023269
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00447521
—
NY
01
—
023269
LICENSE #
NY
Enumeration date
12/05/2006
Last updated
07/08/2007
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