Individual
MELISSA CAROL LEFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 E TICKLE ST, DYERSBURG, TN 38024-3119
(731) 285-1545
Mailing address
130 WOODLAND DR, BROWNSVILLE, TN 38012-6875
(731) 779-1724
(731) 779-1724
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
055149
TN
Other
Enumeration date
03/09/2006
Last updated
07/21/2011
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