Individual
LOGAN MICHAEL LOCASCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 MOREHEAD MEDICAL DR STE 300, CHARLOTTE, NC 28204-2966
(704) 446-2772
Mailing address
1025 MOREHEAD MEDICAL DR STE 300, CHARLOTTE, NC 28204-2966
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
05/03/2026
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