Individual
DR. LOGAN LAINE ELAM-CROSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND, AEMT
Contact information
Practice address
241 MILES AVE APT C, TIPP CITY, OH 45371-1341
(937) 503-2165
Mailing address
9140 WILDCAT RD, TIPP CITY, OH 45371-9211
(937) 503-2165
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
05/05/2022
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