person
Lisa M Logan, NP
Pediatric Nurse Practitioner in Tucson, Arizona
NPI 1902042476

Lisa M Logan is a Pediatric Nurse Practitioner based in Tucson, AZ and is specialized in Pediatrics. Lisa M Logan practices in Tucson, AZ and has the professional credentials of NP. The NPI Number for Lisa M Logan is 1902042476 and holds a License No. 090013 (Arizona).

The current practice location address for Lisa M Logan is 1501 N Campbell Ave, Tucson, AZ and can be reached out via phone at 520-694-7432 and via fax at 520-694-6688. You can also correspond with Lisa M Logan through the mailing address at 2701 E ELVIRA RD, TUCSON, AZ - 85756-7124 (mailing address contact number: 520-874-3500).

Location: 1501 N Campbell Ave, Tucson, AZ, 85756-7124
person
Provider Profile Details
NPI Number
1902042476
Provider Name
Lisa M Logan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1501 N Campbell Ave, Tucson, AZ, 85756-7124
Phone Number
520-694-7432
Fax Number
520-694-6688
Provider Enumeration Date
01/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
407654 05 AZ
institution
Provider Business Practice Location Address Details
Address
1501 N Campbell Ave
City
State
Zip
85724-0001
Phone Number
520-694-7432
Fax Number
520-694-6688
person
Provider Business Mailing Address Details
Address
2701 E Elvira Rd
City
State
Zip
85756-7124
Phone Number
520-874-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
090013 (Arizona)
Definition
Definition to come...
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