Individual
DR. JULIE ELLEN LILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
DEG000215
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015585300004
—
PA
01
—
13008
SPECTERA
PA
01
—
3451
UNISON
PA
01
—
393477
NATIONAL VISION ADMIN
PA
01
—
53180
DAVIS VISION
PA
01
—
PA0215
EYEMED
PA
01
—
PA7516
VISION BENEFITS OF AMERIC
PA
01
—
WE1350395
BCBS
PA
Enumeration date
10/28/2006
Last updated
06/08/2009
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