DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MALLORY ANNE LOGSDON, PA-C

Active Sole Proprietor

Physician Assistant · LAKE WORTH, FL

Registration Details

NPI Number
1306183090
Provider Type
Individual
Gender
Female
NPI Issued
Jan 15, 2013 (13.284409087749 yrs)
Last Updated
Jan 27, 2014
License
PA9106949 (FL)
Sole Proprietor
Yes

Practice Information

Address
5507 S CONGRESS AVE
SUITE 140
LAKE WORTH, FL, 334621139
Browse FL providers · Browse ZIP 33462
Phone
5619656685
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAKE WORTH, FL

Name Credential NPI
MR. BRIAN BERNARD LAMBERT PA C 1346214251
MARIO IVAN GALIANO-CEVALLOS P.A 1710099213
LORI ANN ANTHONY 1033319546
MRS. SUSAN RICE MOLINA PA-C 1750575932
STEPHANIE RIVERA PA-C 1538307509
SARAH OLIVER PA-C 1396077210
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.