Individual
STEFANIE DIANE LOGAN
Active
Individual
STEFANIE DIANE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
0000198733
TN
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-303086
TN
Other
Enumeration date
08/30/2021
Last updated
03/13/2024
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