Emily Lucy Lefevre, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5601012753 Issued in MI

Practice address

2950 Keewahdin Rd
Fort Gratiot, MI 48059-3526

Phone

(586) 286-8720

Fax

(810) 455-1620

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Michigan State University College of Osteopathic Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

S L Husain Hamzavi MD PCGroup PAC ID 7012976590, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• S L Husain Hamzavi MD PC

  • Dermatology Physician
  • Clinton TWP, MI
  • NPI 1407943962
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1881455020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43151 DALCOMA DR STE 4",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480386306",
            "telephone_number": "586-286-8720",
            "fax_number": "586-649-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 KEEWAHDIN RD",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593526",
            "telephone_number": "586-286-8720",
            "fax_number": "810-455-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "EMILY",
        "middle_name": "LUCY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5601012753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Roberto Lanni, M.D.
• Alana K Laprairie
• Cathy Lawson, RPH
• Virginia Elaine Leblanc
• Thomas Lees, OD
• Ariana Adair Leibold
• Leonard T. Karadimas,DO.,PC
• Cynthia K. Leslie, LBSW, MA,
• Pamela Jo Leslie, REGISTERED NURSE
• Jenna Lynn Lester

• Dermatology Physician in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.