MS. Lisa Marie Logan, LMT

NPI #1548096969 in Melrose, Florida

Provider Information

NPI Number: 1548096969
Entity Type: Individual
Name: MS. Lisa Marie Logan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 11, 2024
Last Updated: Sep 11, 2024

Practice Location

Address: 309 STATE ROAD 26
City: Melrose
State: Florida
ZIP Code: 32666-3906
Phone: (352) 225-1275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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