Healthcare Provider Details

I. General information

NPI: 1467648741
Provider Name (Legal Business Name): VALERIE LEFEBVRE OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 07/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 S UNIVERSITY DR
DAVIE FL
33328-2018
US

IV. Provider business mailing address

200 DES BOIS FRANCS
REPENTIGNY QUEBEC
J6A 7Z1
CA

V. Phone/Fax

Practice location:
  • Phone: 954-262-1408
  • Fax:
Mailing address:
  • Phone: 450-582-5624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG001980
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOFC31
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: