J2lb LLC

NPI #1134631674 in Madison, Wisconsin

Provider Information

NPI Number: 1134631674
Entity Type: Organization
Organization Name: J2lb LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 24, 2017
Last Updated: Jun 16, 2018

Practice Location

Address: 562 N MIDVALE BLVD
City: Madison
State: Wisconsin
ZIP Code: 53705-3238
Phone: (608) 231-3937

Authorized Official

Name: BRITTANY K GRABER
Title: OWNER/PRESIDENT
Phone: (608) 310-6973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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