Individual
MR. JEFFREY JAMES LABRANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC, NCLEC
Contact information
Practice address
6100 RONALD REAGAN DR, LAKE SAINT LOUIS, MO 63367-2660
(636) 625-2143
(636) 625-2148
Mailing address
1234 LAKE CT, SAINT CHARLES, MO 63303-2738
(636) 493-9190
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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