Individual
JUSTIN BURTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5528 US HIGHWAY 98 N, LAKELAND, FL 33809-3104
(863) 853-2020
Mailing address
5528 US HIGHWAY 98 N, LAKELAND, FL 33809-3104
(863) 853-2020
(863) 577-2008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2102
AZ
152W00000X
Optometrist
Primary
OPC5629
FL
Other
Enumeration date
04/11/2016
Last updated
01/14/2020
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