Provider Demographics
NPI:1962450585
Name:LEFEBVRE, MARC P (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:P
Last Name:LEFEBVRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:85 HERRICK ST
Mailing Address - Street 2:BEVERLY HOSPITAL
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1776
Mailing Address - Country:US
Mailing Address - Phone:978-922-3000
Mailing Address - Fax:
Practice Address - Street 1:85 HERRICK ST
Practice Address - Street 2:BEVERLY HOSPITAL
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1776
Practice Address - Country:US
Practice Address - Phone:978-922-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54435207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA34322OtherHARVARD PILGRIM
MA3024342Medicaid
MAJ06510OtherBCBS MA
MA054435OtherTUFTS HEALTH PLAN
MA220026364OtherRAILROAD MEDICARE
MA3024342Medicaid
MA054435OtherTUFTS HEALTH PLAN