Provider Demographics
NPI:1407023633
Name:LEFEBVRE, ANDRE RAYMOND (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDRE
Middle Name:RAYMOND
Last Name:LEFEBVRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:102 PINE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NY
Mailing Address - Zip Code:14513-9184
Mailing Address - Country:US
Mailing Address - Phone:315-331-8271
Mailing Address - Fax:315-331-8271
Practice Address - Street 1:349 W COMMERCIAL ST
Practice Address - Street 2:SUITE 2460
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2407
Practice Address - Country:US
Practice Address - Phone:585-381-6080
Practice Address - Fax:585-381-6126
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128914207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery