Individual
MR. TYLER RYAN LEFEBVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
180 WINGO WAY STE 301, MT PLEASANT, SC 29464-1812
(843) 884-0302
Mailing address
PO BOX 751649, CHARLOTTE, NC 28274-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5022
SC
Other
Enumeration date
03/25/2019
Last updated
05/06/2026
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