Individual
LOGAN LAWRENCE CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 AVENUE K SW STE 200, WINTER HAVEN, FL 33880-3919
(863) 297-5400
(863) 595-4515
Mailing address
250 AVENUE K SW STE 200, WINTER HAVEN, FL 33880-3919
(863) 297-5400
(863) 595-4515
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
LL35687
SC
207W00000X
Ophthalmology Physician
ME138716
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME138716
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124088900
—
FL
Enumeration date
06/19/2013
Last updated
03/27/2025
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