Individual
MS. LADAWN M LOGIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
529 S OAK ST, EVART, MI 49631-9310
(231) 734-9058
Mailing address
529 S OAK ST, EVART, MI 49631-9310
(231) 734-9058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704214293
MI
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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