Individual
DR. LIA S LOGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1427 VINE ST FL 6, PHILADELPHIA, PA 19102
(215) 762-6565
Mailing address
1601 CHERRY ST STE 11511, PHILADELPHIA, PA 19102-1310
(215) 255-7822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD463563
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200371590
—
IN
Enumeration date
05/02/2006
Last updated
02/11/2019
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