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Individual

BENJAMIN LEFEVRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
110 LIBERTY ST STE 1A, BROCKTON, MA 02301-5674
(508) 565-3055
Mailing address
110 LIBERTY ST STE 1A, BROCKTON, MA 02301-5674
(508) 565-3055

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3585
MA
2255A2300X
Athletic Trainer
AT005871
OH

Other

Enumeration date
12/11/2017
Last updated
04/30/2026
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