Lisa Marie Logan, PA-C
NPI #1114098464 in Tonopah, Nevada
Provider Information
- NPI Number
- 1114098464
- Entity Type
- Individual
- Name
- Lisa Marie Logan, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 10, 2006
- Last Updated
- Aug 23, 2018
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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