Provider Demographics
NPI:1740352400
Name:LEFEVER, JULIE KAY (DC)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:KAY
Last Name:LEFEVER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:KAY
Other - Last Name:RAWLINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:ARMADA
Mailing Address - State:MI
Mailing Address - Zip Code:48005-0368
Mailing Address - Country:US
Mailing Address - Phone:586-784-5470
Mailing Address - Fax:586-784-5471
Practice Address - Street 1:22919 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ARMADA
Practice Address - State:MI
Practice Address - Zip Code:48005-4708
Practice Address - Country:US
Practice Address - Phone:586-784-5470
Practice Address - Fax:586-784-5471
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2009-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009194111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950E020450OtherBCBS MI PIN
MI950E020450OtherBCBS MI PIN