Provider Demographics
NPI:1366475907
Name:LEFEBVRE, LOUIS C (DDS)
Entity type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:C
Last Name:LEFEBVRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6473 HIGHWAY 44 STE 202
Mailing Address - Street 2:
Mailing Address - City:GONZALES
Mailing Address - State:LA
Mailing Address - Zip Code:70737-8179
Mailing Address - Country:US
Mailing Address - Phone:225-473-7766
Mailing Address - Fax:225-473-7999
Practice Address - Street 1:6473 HIGHWAY 44 STE 202
Practice Address - Street 2:
Practice Address - City:GONZALES
Practice Address - State:LA
Practice Address - Zip Code:70737-8179
Practice Address - Country:US
Practice Address - Phone:225-473-7766
Practice Address - Fax:225-473-7999
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA56481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice