Individual
MS. LOGAN CATHERINE LAMALIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 US-11, STATION #14, LIVINGSTON, AL 35470
(205) 652-3714
Mailing address
100 US-11, UWA STATION 14, LIVINGSTON, AL 35470
(205) 652-3714
(205) 652-3799
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2680
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000050803
BOARD OF CERTIFICATION
OH
Enumeration date
08/05/2019
Last updated
08/11/2022
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