Dr. Douglas Norman Logan
Orthodontists
1844 Lemonwood St
La Verne
, California 91750-2113
Dr. Douglas Norman Logan
Orthodontists
1844 Lemonwood St
La Verne
, California 91750-2113
(909) 392-9671
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. Douglas Norman Logan
- 1844 Lemonwood St.
- La Verne, CA
- Zip : 91750
- Phone : (909) 392-9671
Second Address
- Dr. Douglas Norman Logan
- 1844 Lemonwood St
- La Verne, CA
- Zip : 91750-2113
- Phone : (909) 392-9671
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 19925 | CA |
National Provider Identifier
| NPI | 1023225471 |
|---|---|
| Provider Name | Dr. Douglas Norman Logan |
| First Address | La Verne, CA 91750 |
| Second Address | La Verne, CA 91750-2113 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 12/03/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.