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Logan Lively
NPI 1881422525 · on the registry since 2024 · sole proprietor
Practice
- Address
- 10166 Waters Edge Dr
Elberfeld, IN 47613 - Phone
- (812) 708-2932
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2024-07-24
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 Indiana