Individual provider · Type 1 NPI

Logan E. Jaconski

Other Technician · West Palm Beach, FL

NPI number 1558858258 Active

Practice location

1818 S Australian Ave Ste 420
West Palm Beach, FL 33409-6447

Mailing address

1601 West Rd
Lake Park, FL 33403-2040

Other practice locations

  • 1831 17th Ct N, Lake Worth, FL 33460-6437 · (855) 832-6727

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1558858258

Logan E. Jaconski's National Provider Identifier is 1558858258, issued on Apr 18, 2018. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in West Palm Beach, FL. The record was last updated on Apr 18, 2018.