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Individual

DR. LAWRENCE J LEFCORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
213-15 33RD ROAD, BAYSIDE, NY 11361
(718) 449-4878
Mailing address
213-15 33RD ROAD, BAYSIDE, NY 11361
(718) 449-4878

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X002565-D
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X002565-D
STATE LICENSE NUMBER
NY
Enumeration date
10/05/2006
Last updated
07/20/2012
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