Provider Demographics
NPI:1225229875
Name:JAMES T. LEFEBVRE DC, PLLC
Entity Type:Organization
Organization Name:JAMES T. LEFEBVRE DC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEFEBVRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-237-9485
Mailing Address - Street 1:20 SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:NY
Mailing Address - Zip Code:12188-2615
Mailing Address - Country:US
Mailing Address - Phone:518-237-9485
Mailing Address - Fax:518-237-4608
Practice Address - Street 1:20 SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:NY
Practice Address - Zip Code:12188-2615
Practice Address - Country:US
Practice Address - Phone:518-237-9485
Practice Address - Fax:518-237-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005784-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty