Individual
DR. NICHOLAS LEFEVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 HIGHLANDS DR, LITITZ, PA 17543-7694
(717) 625-5668
Mailing address
2778 COBBLESTONE LN, LANCASTER, PA 17601-3304
(312) 730-3555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OT019350
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT019350
PA TRAINING LICENSE
PA
Enumeration date
06/14/2019
Last updated
06/14/2019
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