Individual
LAURIE A LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
238 FRONT ST, CASHTON, WI 54619-2002
(608) 654-5100
Mailing address
PO BOX 39, CASHTON, WI 54619-0039
(608) 654-5100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34243
WI
Other
Enumeration date
10/26/2005
Last updated
09/13/2024
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