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Tyler Ryan Lefebvre, PA-C

Physician Assistant, Surgical in Charleston, SC. Individual provider (NPI-1).

NPI number1346700366
StatusActive
Last updated in NPPESSep 1, 2026

Details

NPI
1346700366
Entity type
Individual (NPI-1)
Name
Mr. Tyler Ryan Lefebvre
Credential
PA-C
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 25, 2019
Certification date
Sep 1, 2026
Last updated
Sep 1, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical5022SCYes
363A00000X Physician Assistant5022SC

Practice location

2093 Henry Tecklenburg Dr Ste 200e
Charleston, SC 29414-5742

Phone 843-958-2500 · Fax 843-958-2680

Mailing address

Po Box 751649
Charlotte, NC 28274-1649

Phone 888-472-0043 · Fax 843-724-2440

Other practice locations

1205 38th Ave N # 1209
Myrtle Beach, SC 29577-1313

Phone 910-332-3828 · Fax 843-733-0990

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