Individual
DR. JOHN ERIC LEFEVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
519 PARK ST, BLOOMSBURG, PA 17815-2328
(570) 784-0360
Mailing address
519 PARK ST, BLOOMSBURG, PA 17815-2328
(570) 784-0360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC005505-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02386600
CAPITOL BLUE CROSS
PA
01
—
0769702
KEYSTONE
PA
01
—
769702
BLUE SHIELD
PA
Enumeration date
08/02/2005
Last updated
08/05/2016
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