Provider Demographics
NPI:1467564963
Name:LEFEBVRE, PAUL M (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:M
Last Name:LEFEBVRE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5039 UNIVERSITY PKWY
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-6083
Mailing Address - Country:US
Mailing Address - Phone:336-293-1341
Mailing Address - Fax:336-293-1342
Practice Address - Street 1:5039 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106
Practice Address - Country:US
Practice Address - Phone:336-293-1341
Practice Address - Fax:336-293-1342
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045752183500000X
NC28023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist