Provider Demographics
NPI:1487664843
Name:LABRIERE, RACHELLE LEA (OD)
Entity type:Individual
Prefix:DR
First Name:RACHELLE
Middle Name:LEA
Last Name:LABRIERE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:207 S DRENDA AVE
Mailing Address - Street 2:
Mailing Address - City:REPUBLIC
Mailing Address - State:MO
Mailing Address - Zip Code:65738-2097
Mailing Address - Country:US
Mailing Address - Phone:417-827-8413
Mailing Address - Fax:
Practice Address - Street 1:1518 E BATTLEFIELD RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-3704
Practice Address - Country:US
Practice Address - Phone:417-887-7778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT03390152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist