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Lazedrick Logan, NP
Psychiatric/Mental Health Nurse Practitioner in Dallas, Texas
NPI 1740708676

Lazedrick Logan is a Psychiatric/Mental Health Nurse Practitioner based in Dallas, TX and is specialized in Psychiatric/Mental Health. Lazedrick Logan practices in Dallas, TX and has the professional credentials of NP. The NPI Number for Lazedrick Logan is 1740708676 and holds a License No. 829535 (Texas).

The current practice location address for Lazedrick Logan is 4131 N Central Expy Ste 900, Dallas, TX and can be reached out via phone at 800-909-7140.

Location: 4131 N Central Expy Ste 900, Dallas, TX, 75204-2120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740708676
Provider Name
Lazedrick Logan
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
4131 N Central Expy Ste 900, Dallas, TX, 75204-2120
Phone Number
800-909-7140
Fax Number
Provider Enumeration Date
08/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4131 N Central Expy Ste 900
City
Dallas
State
Texas
Zip
75204-2120
Phone Number
800-909-7140
Fax Number
person
Provider Business Mailing Address Details
Address
4131 N Central Expy Ste 900
City
Dallas
State
Texas
Zip
75204-2120
Phone Number
800-909-7140
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
95008515 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1032186 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
829535 (California)
Definition
Definition to come...
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