Individual
LARRY E LEFEVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 E US HIGHWAY 36, STE. B, URBANA, OH 43078-9112
(937) 652-4969
(937) 652-4970
Mailing address
1430 E US HIGHWAY 36, STE. B, URBANA, OH 43078-9112
(937) 652-4969
(937) 652-4970
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35036221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0305315
—
OH
Enumeration date
03/03/2006
Last updated
01/24/2013
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