Individual
LAJUANA S. LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 877-1000
(205) 989-1087
Mailing address
2151 OLD ROCKY RIDGE RD, STE 106, BIRMINGHAM, AL 35216-7251
(205) 989-1091
(205) 989-1087
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.13411
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000087451
—
AL
Enumeration date
06/24/2005
Last updated
09/08/2017
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