NPI 1053666099

David Kumba Lefors, CPO

Practitioner Prosthetist Texarkana, TX

Practice location

Address: 5604 Summerhill Rd Suite 7, Texarkana, TX 75503-4650
Phone: (903) 794-0720
Fax: (903) 794-0512

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 1533 (TX)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 1533 (TX)

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Registry record

NPI: 1053666099
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2012
Record last updated: 16 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.