Individual
KIMBERLY A. LEFEVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
732 MAIN ST, MANCHESTER, CT 06040-5106
(860) 649-5177
(860) 643-4901
Mailing address
732 MAIN ST, MANCHESTER, CT 06040-5106
(860) 649-5177
(860) 643-4901
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002476
CT
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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