SearchLouisiana1041C0700X

Nikita Logan

NPI 1124484274 · on the registry since 2016 · sole proprietor

Practice

Address
620 E Alexander St
Lafayette, LA 70501
Phone
(832) 687-2771

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana