Jeffrey James Labranche, ABOC, NCLEC
Technician/Technologist, Optician in Lake Saint Louis, MO. Individual provider (NPI-1).
NPI number1760140933
StatusActive
Last updated in NPPESDec 3, 2021
Details
- NPI
- 1760140933
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeffrey James Labranche
- Credential
- ABOC, NCLEC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2021
- Certification date
- Dec 3, 2021
- Last updated
- Dec 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
6100 Ronald Reagan DrLake Saint Louis, MO 63367-2660
Phone 636-625-2143 · Fax 636-625-2148
Mailing address
1234 Lake CtSaint Charles, MO 63303-2738
Phone 636-493-9190
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