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General NPI Number Information
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NPI Number | 1487664843
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Entity Type | Individual
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Provider Name | RACHELLE LEA LABRIERE O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 1518 E BATTLEFIELD RD
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City | SPRINGFIELD
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State | MO
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Zip | 65804-3704
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Country | US
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Telephone | 417-887-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 207 S DRENDA AVE
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City | REPUBLIC
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State | MO
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Zip | 65738-2097
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Country | US
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Telephone | 417-827-8413
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T03390
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License Number State | MO
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