Individual
LOGAN STEPHEN LUSSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 814-8168
Mailing address
50 HAZEL DR UNIT 107, CHESHIRE, CT 06410-1063
(203) 910-9507
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
209050
CT
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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