Individual
DOLA LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8406 CAPERNWRAY DR, CHESTERFIELD, VA 23838-5612
(804) 912-7067
Mailing address
912 SCOTCH PINE CT, SANDSTON, VA 23150-1672
(757) 675-5227
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002077889
VA
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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