Individual
LOGAN GAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
576 CENTERVILLE RD, LANCASTER, PA 17601-1306
(717) 276-7066
Mailing address
576 CENTERVILLE RD, LANCASTER, PA 17601-1306
(717) 276-7066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004186
PA
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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