Individual
MRS. LILLY ANN LOGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CSFA
Contact information
Practice address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-7197
(765) 448-8027
Mailing address
5177 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 838-7197
(765) 448-8027
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
100269135
IN
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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