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NPI Code Detail

MEDICARE: MAUREEN LEFEVRE ALLEN P.A.-C

MEDICARE: MAUREEN LEFEVRE ALLEN P.A.-C
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
1363A00000XPhysician Assistant1122AL

General Provider Information

NPI Number : 1275992513
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAUREEN LEFEVRE ALLEN P.A.-C
Provider Business Mailing Address
First Line : 508 GREENE ST
Second Line :
City : GREENSBORO
State : AL
Zip : 36744-2316
Country : US
Telephone Number : 334-624-3024
Fax Number : 334-624-4453
Provider Business Practice Location Address
First Line : 125 20TH ST S
Second Line : SUITE 103
City : BIRMINGHAM
State : AL
Zip : 35233-2019
Country : US
Telephone Number : 205-801-5251
Fax Number : 205-801-5252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2016
Last Update Date : 12/09/2021

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