Individual
COREY LEFEBVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 ALDEN ST, SPRINGFIELD, MA 01109-3707
(401) 808-0479
Mailing address
1550 VICTORY HWY, NORTH SMITHFIELD, RI 02896-7820
(401) 808-0479
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2777
MA
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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