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Logan Luther
Adult Health Nurse Practitioner in Johnson City, New York
NPI 1144818352

Logan Luther is an Adult Health Nurse Practitioner based in Binghamton, NY and is specialized in Adult Health. Logan Luther practices in Johnson City, NY. The NPI Number for Logan Luther is 1144818352 and holds a License No. 310126 (New York).

The current practice location address for Logan Luther is 507 Main St, Johnson City, NY and can be reached out via phone at 607-763-6075 and via fax at 607-763-5234.

Location: 507 Main St, Johnson City, NY, 13905-1040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144818352
Provider Name
Logan Luther
Credential
Provider Entity Type
Individual
Gender
Female
Address
507 Main St, Johnson City, NY, 13905-1040
Phone Number
607-763-6075
Fax Number
607-763-5234
Provider Enumeration Date
01/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
507 Main St
City
Johnson City
State
New York
Zip
13790-1810
Phone Number
607-763-6075
Fax Number
607-763-5234
person
Provider Business Mailing Address Details
Address
507 Main St
City
Johnson City
State
New York
Zip
13790-1810
Phone Number
607-763-6075
Fax Number
607-763-5234
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
310126 (New York)
Definition
Definition to come...
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