Individual provider · Type 1 NPI

Logan Large

Student in an Organized Health Care Education/Training Program · Springfield, MA

NPI number 1871315853 Active

Practice location

300 Carew St
Springfield, MA 01104-2485

Call (413) 794-9816 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1871315853

Logan Large's National Provider Identifier is 1871315853, issued on Oct 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Springfield, MA. The record was last updated on Oct 30, 2024.