Provider Demographics
NPI:1467012260
Name:JULIE M. LUNN, PLLC
Entity Type:Organization
Organization Name:JULIE M. LUNN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:MARCELLA
Authorized Official - Last Name:LUNN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-349-5795
Mailing Address - Street 1:180 PEPPERBERRY LN
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-7381
Mailing Address - Country:US
Mailing Address - Phone:303-349-5795
Mailing Address - Fax:
Practice Address - Street 1:167 HOGAN BLVD
Practice Address - Street 2:
Practice Address - City:MILL HALL
Practice Address - State:PA
Practice Address - Zip Code:17751-1902
Practice Address - Country:US
Practice Address - Phone:570-893-8286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty