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Logan Vidrine, LOTR

NPI 1801609946 · on the registry since 2025

Practice

Address
107 Summer Ln
West Monroe, LA 71291
Phone
(318) 396-1969
Clinicians at this address
39

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-31

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