Individual
JULIE LYNN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
763 SW MAIN BLVD, LAKE CITY, FL 32025-5791
(386) 752-1722
(386) 755-1858
Mailing address
763 SW MAIN BLVD, LAKE CITY, FL 32025-5791
(386) 752-1722
(386) 755-1858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620611500
—
FL
Enumeration date
11/22/2005
Last updated
01/18/2013
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