Provider Demographics
NPI:1770092512
Name:LEFEVRE, SETH SPENCER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:SPENCER
Last Name:LEFEVRE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 E 1000 N
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-5998
Mailing Address - Country:US
Mailing Address - Phone:801-504-9531
Mailing Address - Fax:
Practice Address - Street 1:273 E 1000 N
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-5998
Practice Address - Country:US
Practice Address - Phone:801-504-9531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-25
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8767572-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist