Provider Demographics
NPI:1821143769
Name:LABEAF, FRANCIS LEROY JR (AS-C)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:LEROY
Last Name:LABEAF
Suffix:JR
Gender:M
Credentials:AS-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13402 BENNINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-3254
Mailing Address - Country:US
Mailing Address - Phone:816-304-6840
Mailing Address - Fax:816-763-1416
Practice Address - Street 1:13402 BENNINGTON AVE
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-3254
Practice Address - Country:US
Practice Address - Phone:816-304-6840
Practice Address - Fax:816-763-1416
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist