Provider Demographics
NPI:1114204195
Name:LEFEBVRE, RACHEL R (OD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:R
Last Name:LEFEBVRE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 W UNION ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2328
Mailing Address - Country:US
Mailing Address - Phone:740-594-2271
Mailing Address - Fax:740-594-2270
Practice Address - Street 1:416 W UNION ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2328
Practice Address - Country:US
Practice Address - Phone:740-594-2271
Practice Address - Fax:740-594-2270
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6095152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist