NPI 1083634133

Becky M. Logan, SURGICALTECH

Practitioner Surgical Technologist Thibodaux, LA

Practice location

Address: 1101 Audubon Ave STE S-4, Thibodaux, LA 70301-4957
Phone: (985) 447-7246
Mailing address: 203 Ormond Village Dr, Destrehan, LA 70047-3717

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Louisiana →

Registry record

NPI: 1083634133
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.