Individual
DR. LARRY S LEFORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
618 RAILROAD AVENUE, SUITE A, ZILLAH, WA 98953-0843
(509) 829-5221
(509) 829-6411
Mailing address
PO BOX 843, ZILLAH, WA 98953-0843
(509) 829-5221
(509) 829-6411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00000767
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356807
—
WA
01
—
15993
LABOR AND INDUSTRIES
WA
Enumeration date
03/27/2007
Last updated
07/08/2007
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