Most Relevant Information
Provider Data
| NPI Number: | 1003443623 |
| Provider Name: | LINDA L LOGAN DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2020 |
| Last Updated: | 03/24/2020 |
Provider Practice Location
111 COLCHESTER AVE
BURLINGTON
VT
054011473
Practice Location Phone/Fax
| Phone: | 8028472345 |
| Fax: |
Provider Mailing Location
111 COLCHESTER AVE
BURLINGTON
VT
054011473
Provider Mailing Phone/Fax
| Phone: | 8028472345 |
| Fax: |