Individual
LORA C LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 SHARON WOODS BLVD, COLUMBUS, OH 43229-7019
(614) 743-8165
Mailing address
4051 VINESHIRE DR, COLUMBUS, OH 43227-3692
(614) 743-8165
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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