Individual
JENNIFER M LEFAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2005 BAY ST, SUITE 206, TAUNTON, MA 02780-1085
(508) 822-2266
(508) 823-5689
Mailing address
2005 BAY ST, SUITE 206, TAUNTON, MA 02780-1085
(508) 822-2266
(508) 823-5689
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2289
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2289
STATE LICENSE NUMBER
MA
Enumeration date
01/15/2007
Last updated
07/08/2007
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