Provider Demographics
NPI:1225139025
Name:LARRABEE, PHILIP EUGENE JR (OD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:EUGENE
Last Name:LARRABEE
Suffix:JR
Gender:M
Credentials:OD
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Mailing Address - Street 1:4617 LEONARD PARKWAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226
Mailing Address - Country:US
Mailing Address - Phone:757-880-3320
Mailing Address - Fax:
Practice Address - Street 1:12200 CHATTANOOGA PLZ
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4865
Practice Address - Country:US
Practice Address - Phone:804-744-7327
Practice Address - Fax:804-744-7328
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2017-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0618000324152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist