Provider Demographics
NPI:1023679552
Name:LEFEBVRE, SAMANTHA ANN (DNP)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:ANN
Last Name:LEFEBVRE
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:ANN
Other - Last Name:BURNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2331 FAIRFIELD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1348
Mailing Address - Country:US
Mailing Address - Phone:402-434-7177
Mailing Address - Fax:402-434-7180
Practice Address - Street 1:2331 FAIRFIELD ST STE 1
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1348
Practice Address - Country:US
Practice Address - Phone:402-434-7177
Practice Address - Fax:402-434-7180
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112839207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine