LORETTA MICHELLE LOGAN

NEW YORK, NY
NPI1821060492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: NY  NOO4658)
Enumeration Date2006-02-07
Last Update Date2009-12-02
Business Address
Dr. LORETTA MICHELLE LOGAN DPM
241 W 138TH ST
NEW YORK, NY 10030-2102
Phone number: 212-694-2392
Mailing Address
Dr. LORETTA MICHELLE LOGAN DPM
3307 HUNTER AVE APT 1
BRONX, NY 10475-1543
Phone number: 718-676-5262
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