Individual
LOGAN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 BARNETT CT, LAFAYETTE, LA 70507-2764
(337) 230-6083
Mailing address
118 BARNETT CT, LAFAYETTE, LA 70507-2764
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
300826
LA
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
About Stedi
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