Individual
DR. LLOYD G LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
527 N PALO ALTO AVE, PANAMA CITY, FL 32401-3639
(850) 763-2451
(850) 747-4907
Mailing address
PO BOX 1770, PANAMA CITY, FL 32402
(850) 747-4905
(850) 747-4907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS9177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269984200
—
FL
01
—
44037
BCBS
FL
Enumeration date
01/27/2006
Last updated
12/31/2009
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