Logan Jose Granera
NPI #1306354147 in Burlington, Iowa
Provider Information
- NPI Number
- 1306354147
- Entity Type
- Individual
- Name
- Logan Jose Granera
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 15, 2018
- Last Updated
- Jun 14, 2018
Practice Location
- Address
- 2743 MOUNT PLEASANT ST
- City
- Burlington
- State
- Iowa
- ZIP Code
- 52601
- Phone
- (319) 754-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Optometrist |
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