Provider Demographics
NPI:1275992513
Name:ALLEN, MAUREEN LEFEVRE (PA-C)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:LEFEVRE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36744-2316
Mailing Address - Country:US
Mailing Address - Phone:334-624-3024
Mailing Address - Fax:334-624-4453
Practice Address - Street 1:125 20TH ST S
Practice Address - Street 2:SUITE 103
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2019
Practice Address - Country:US
Practice Address - Phone:205-801-5251
Practice Address - Fax:205-801-5252
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1122363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant