Individual provider · Type 1 NPI

Tyler Ryan Lefebvre, PA-C

Surgical Physician Assistant · Charleston, SC

NPI number 1346700366 Active

Practice location

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

Fax (843) 958-2680

Mailing address

PO Box 751649
Charlotte, NC 28274-1649

Other practice locations

  • 1205 38th Ave N # 1209, Myrtle Beach, SC 29577-1313 · (910) 332-3828

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5022 (SC)
Physician Assistant 363A00000X5022 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1346700366

Tyler Ryan Lefebvre, PA-C's National Provider Identifier is 1346700366, issued on Mar 25, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charleston, SC. The record was last updated on Sep 1, 2026.