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NPI Code Detail

MEDICARE: DR. JESSICA LYNN LEFEBVRE M.D.

MEDICARE:  DR. JESSICA LYNN LEFEBVRE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician262616NY

General Provider Information

NPI Number : 1952565921
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA LYNN LEFEBVRE M.D.
Provider Business Mailing Address
First Line : 301 PROSPECT AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-1807
Country : US
Telephone Number : 315-744-1478
Fax Number :
Provider Business Practice Location Address
First Line : 301 PROSPECT AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13203-1899
Country : US
Telephone Number : 315-448-5360
Fax Number : 315-448-6137
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2008
Last Update Date : 09/23/2020

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