Tracy L Logan, LPN

NPI #1174649826 in Parma, Ohio

Provider Information

NPI Number
1174649826
Entity Type
Individual
Name
Tracy L Logan, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Mar 22, 2007
Last Updated
Apr 9, 2008

Practice Location

Address
11090 SCHWAB DR
City
Parma
State
Ohio
ZIP Code
44130-5949
Phone
(440) 888-2911

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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