Provider Demographics
NPI:1801908074
Name:LEFEBVRE, GIGI CLAIRE (MD)
Entity type:Individual
Prefix:DR
First Name:GIGI
Middle Name:CLAIRE
Last Name:LEFEBVRE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 30TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-3102
Mailing Address - Country:US
Mailing Address - Phone:727-381-4463
Mailing Address - Fax:727-384-8704
Practice Address - Street 1:6600 30TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-3102
Practice Address - Country:US
Practice Address - Phone:727-381-4463
Practice Address - Fax:727-384-8704
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0054450207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE21441Medicare UPIN
FL07894Medicare ID - Type Unspecified