Dr. Logan Wrenn Luzadder
Chiropractic Sports Physician
3004 Lee Hwy Suite D111
Arlington
, Virginia 22201-4233
Dr. Logan Wrenn Luzadder
Chiropractic Sports Physician
3004 Lee Hwy Suite D111
Arlington
, Virginia 22201-4233
(703) 671-6038
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Logan Wrenn Luzadder
- 3004 Lee Hwy Suite D111
- Arlington, VA
- Zip : 22201-4233
- Phone : (703) 671-6038
Second Address
- Dr. Logan Wrenn Luzadder
- 3004 Lee Hwy Suite D111
- Arlington, VA
- Zip : 22201-4233
- Phone : (703) 671-6038
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 0104-557362 | VA |
National Provider Identifier
| NPI | 1356894117 |
|---|---|
| Provider Name | Dr. Logan Wrenn Luzadder |
| First Address | Arlington, VA 22201-4233 |
| Second Address | Arlington, VA 22201-4233 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2016 |
| Last Update Date | 28/07/2016 |
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.