Jazmin A Logendra O.D.

NPI 1689873465 - Optometrist - 152WL0500X

NPI Details
NPI 1689873465
Gender Female
Enumeration Date 07/12/2007
Last Updated 02/12/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
100 E LEHIGH AVE
SUITE 201
PHILADELPHIA PA, 19125-1012, US
Phone (215) 634-6563
Fax
Business Location
100 E LEHIGH AVE
SUITE 201
PHILADELPHIA PA, 19125-1012, US
Phone
Fax (713) 798-4498
Toxanomy
Taxonomy Code 152WL0500X
License State Texas
License Number 7477TG
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According to our database, Dr. Jazmin A Logendra O.D. NPI is 1689873465, taxonomy code is 152WL0500X and license number is 7477TG, license state is located at Texas. Jazmin A Logendra O.D. physically located at 100 E Lehigh Ave, Philadelphia PA, 19125-1012. NPI Number Jazmin A Logendra O.D. has the Individual type.

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1689873465 NPI number is provided on an as is basis without warranty of any kind. 1689873465 is maintained by the National Plan & Provider Enumeration System. The contents of Jazmin A Logendra O.D. are for informational purposes only.