Provider Demographics
NPI:1215192331
Name:LABBE, LAURA NICOLE (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:LAURA
Middle Name:NICOLE
Last Name:LABBE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 S 5TH AVE
Mailing Address - Street 2:BUILDING 200, ROOM B 128 F, PHARMACY SERVICE
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141-3030
Mailing Address - Country:US
Mailing Address - Phone:708-202-2488
Mailing Address - Fax:708-202-2088
Practice Address - Street 1:5000 S 5TH AVE
Practice Address - Street 2:BUILDING 200, ROOM B 128 F, PHARMACY SERVICE
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-3030
Practice Address - Country:US
Practice Address - Phone:708-202-2488
Practice Address - Fax:708-202-2088
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051292627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist