Individual
DONNA JANE OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 NEW MOODY LN, LA GRANGE, KY 40031-9142
(502) 222-2592
Mailing address
3703 ECHO VALLEY CIR, LA GRANGE, KY 40031-9644
(502) 548-9372
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
271196
KY
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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