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NPI Code Detail

MEDICARE: DR. THOMAS VERNON LEFEVERE MD

MEDICARE: DR. THOMAS VERNON LEFEVERE MD
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
1208000000XPediatrics Physician24001MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109590LEOTHERMNBC/BS
2FP9020802006OTHERMNPREFERRED ONE
31201571OTHERMNMEDICA

General Provider Information

NPI Number : 1740393875
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS VERNON LEFEVERE MD
Provider Business Mailing Address
First Line : 3955 PARKLAWN AVE
Second Line : STE 120
City : EDINA
State : MN
Zip : 55435-5655
Country : US
Telephone Number : 952-831-1944
Fax Number : 952-278-6947
Provider Business Practice Location Address
First Line : 3955 PARKLAWN AVE
Second Line : STE 120
City : EDINA
State : MN
Zip : 55435-5655
Country : US
Telephone Number : 952-831-1944
Fax Number : 952-278-6947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS VERNON LEFEVERE MD” Practice Location

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