Individual
LAURA OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
147 NORTHSIDE DR E, STATESBORO, GA 30458-4760
(912) 764-7914
(912) 764-7352
Mailing address
147 NORTHSIDE DR E, STATESBORO, GA 30458-4760
(912) 764-7914
(912) 764-7352
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
LDO002263
GA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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