MR. Jeffery A Logan, LAC,LLC

NPI #1932128436 in Portland, Maine

Provider Information

NPI Number: 1932128436
Entity Type: Individual
Name: MR. Jeffery A Logan, LAC,LLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC,LLC
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 222 AUBURN ST
Address 2: STE 103
City: Portland
State: Maine
ZIP Code: 04103-6004
Phone: (207) 780-8880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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