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Mr. Lavell Edward Brooks SR., OPTICIAN
Optician in Union Springs, Alabama
NPI 1295259828

Lavell Edward Brooks SR. is a Optician based in Montgomery, AL and is specialized in Optician. Lavell Edward Brooks SR. practices in Union Springs, AL and has the professional credentials of OPTICIAN. The NPI Number for Lavell Edward Brooks SR. is 1295259828 and holds a License No. 6136761 (Alabama).

The current practice location address for Lavell Edward Brooks SR. is 234 N Prairie Street, Union Springs, AL and can be reached out via phone at 334-324-6832.

Location: 234 N Prairie Street, Union Springs, AL, 36108-3944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295259828
Provider Name
Lavell Edward Brooks SR.
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
234 N Prairie Street, Union Springs, AL, 36108-3944
Phone Number
334-324-6832
Fax Number
Provider Enumeration Date
07/25/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6136761 05 AL
institution
Provider Business Practice Location Address Details
Address
234 N Prairie Street
City
Union Springs
State
Alabama
Zip
36089
Phone Number
334-324-6832
Fax Number
person
Provider Business Mailing Address Details
Address
234 N Prairie Street
City
Union Springs
State
Alabama
Zip
36089
Phone Number
334-324-6832
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
6136761 (Alabama)
Definition
Definition to come...
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