Individual
AMY LEFEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 CORAL DR, LOCKPORT, IL 60441-2205
(815) 838-1632
Mailing address
1110 CORAL DR, LOCKPORT, IL 60441-2205
(815) 838-1632
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043122846
IL
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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