Provider Demographics
NPI:1194758870
Name:LEFEVER, ERNEST WEAVER (DPM)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:WEAVER
Last Name:LEFEVER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1390 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-1349
Mailing Address - Country:US
Mailing Address - Phone:810-664-1250
Mailing Address - Fax:810-664-0315
Practice Address - Street 1:1390 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1349
Practice Address - Country:US
Practice Address - Phone:810-664-1250
Practice Address - Fax:810-664-0315
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901000925213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1001820OtherMCLAREN HEALTH PLAN
MI5445001OtherBLUE CARE NETWORK
MI5445001OtherBLUE CARE ADVANTAGE
MI1001820OtherMCLAREN HEALTH ADVANTAGE
MIC6286OtherMCARE
MI4313308Medicaid
MI5410482OtherHEALTH PLUS OF MI
MI5445001OtherBLUE CROSS INDIVIDUAL I.D
MI4313308Medicaid
MI4155400001Medicare NSC
MIC6286OtherMCARE