| Doctor Name: | MR. RONALD S LEFORS |
| NPI Number: | 1619019759 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.P.O. |
| License Number: | 213-000135 |
| Business Practice Address: | 214 W Saint Louis Ave East Alton, IL - 620241122 |
| Business Phone Number: | 6182591969 |
| Business Fax Number: | 6182593638 |
| Mailing Address: | 214 W Saint Louis Ave, EAST ALTON |
| State: | IL |
| Postal Code: | 620241122 |
| Phone Number: | 6182591969 |
| Fax Number: | 6182593638 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 213-000135 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |