Individual
DR. JULIE M. RALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213
(502) 459-2020
(502) 456-9121
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-9121
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2111DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111DT
KY LICENSE
KY
05
—
PENDING
—
KY
Enumeration date
06/14/2018
Last updated
03/03/2021
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