Provider Demographics
NPI:1851688071
Name:LEFEBVRE, CALVIN LEE (MPT)
Entity Type:Individual
Prefix:MR
First Name:CALVIN
Middle Name:LEE
Last Name:LEFEBVRE
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25231 PASEO DE ALICIA
Mailing Address - Street 2:STE 110
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4615
Mailing Address - Country:US
Mailing Address - Phone:949-244-4675
Mailing Address - Fax:
Practice Address - Street 1:25231 PASEO DE ALICIA
Practice Address - Street 2:STE 110
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4615
Practice Address - Country:US
Practice Address - Phone:949-244-4675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-08
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT37989225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist