Individual
LOGEN M LAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4391
(307) 742-3728
Mailing address
1309 PERSON ST, LARAMIE, WY 82070-5452
(720) 347-9941
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1074
WY
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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