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Logan Ludlum
Student in an Organized Health Care Education/Training Program in Dubuque, Iowa
NPI 1265208847

Logan Ludlum is a Student in an Organized Health Care Education/Training Program based in Platteville, IA. Logan Ludlum practices in Dubuque, IA. The NPI Number for Logan Ludlum is 1265208847 and holds a License No. (Iowa).

The current practice location address for Logan Ludlum is 1450 Alta Vista St, Dubuque, IA and can be reached out via phone at 608-331-0094.

Location: 1450 Alta Vista St, Dubuque, IA, 53818-9340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265208847
Provider Name
Logan Ludlum
Credential
Provider Entity Type
Individual
Gender
Male
Address
1450 Alta Vista St, Dubuque, IA, 53818-9340
Phone Number
608-331-0094
Fax Number
Provider Enumeration Date
11/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1450 Alta Vista St
City
Dubuque
State
Iowa
Zip
52001-4327
Phone Number
608-331-0094
Fax Number
person
Provider Business Mailing Address Details
Address
1450 Alta Vista St
City
Dubuque
State
Iowa
Zip
52001-4327
Phone Number
608-331-0094
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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