Individual
EMILY LUCY LEFEVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2950 KEEWAHDIN RD, FORT GRATIOT, MI 48059-3526
(586) 286-8720
(810) 455-1620
Mailing address
43151 DALCOMA DR STE 4, CLINTON TOWNSHIP, MI 48038-6306
(586) 286-8720
(586) 649-6699
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5601012753
MI
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/21/2026
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