Logdberg, Lars Optimus

Logdberg, Lars Optimus is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Logdberg, Lars Optimus can be contacted via phone (317) 217-3500.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Avon IN 46123-7085
Phone: (317) 217-3500
Fax: (317) 217-3115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 01079959A Indiana

Profile Details

NPI number 1417376369
LBN Legal business name Logdberg, Lars Optimus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2014
Last updated Jun 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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