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NPI Code Detail

MEDICARE: DR. LOGAN WILLIAM CARR M.D.

MEDICARE: DR. LOGAN WILLIAM CARR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery PhysicianMD457614PA

General Provider Information

NPI Number : 1649512377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LOGAN WILLIAM CARR M.D.
Provider Business Mailing Address
First Line : 554 N DUKE ST
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-291-5863
Fax Number :
Provider Business Practice Location Address
First Line : 554 NORTH DUKE STREET
Second Line :
City : LANCASTER
State : PA
Zip : 17602-2250
Country : US
Telephone Number : 717-291-5863
Fax Number : 717-392-6915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2013
Last Update Date : 03/09/2026

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