Lisa Marie Logan in Tonopah - Physician Assistant
Lisa Marie Logan - NPI 1114098464
Lisa Marie Logan is a Physician Assistant in Tonopah, Nevada. Lisa Marie Logan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa Marie Logan is 1114098464. The last update date is 2018-08-23.
Lisa Marie Logan's current location address is 825 S Main St., Tonopah, Nevada. You can contact this provider via phone number 7759828255 and fax number 7759823900. The mailing address for Lisa Marie Logan is 825 S Main St., Tonopah, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Logan |
|---|---|
| Address | 825 S Main St., Tonopah, Nevada |
| Phone Number | 7759828255 |
| Fax Number | 7759823900 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1114098464 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2018-08-23 |
Provider Mailing Address Detail
| Address | 825 S Main St. |
|---|---|
| City | Tonopah |
| State | Nevada (NV) |
| Post Code | 89049 |
| Phone Number | 7759828255 |
| Fax Number | 7759823900 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1023 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique provider identifier assigned to Lisa Marie Logan?
The Lisa Marie Logan has been issued the NPI (National Provider Identifier) 1114098464 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Lisa Marie Logan?
The Lisa Marie Logan is situated at 825 S Main St., in the city of Tonopah, state of NV, with the zip code 89049.
What is Lisa Marie Logan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lisa Marie Logan is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
When did Lisa Marie Logan receive its 1114098464 assignment?
The Lisa Marie Logan was assigned its 1114098464 on 2006-11-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Lisa Marie Logan last refreshed?
The information related to the Lisa Marie Logan, including its address, specialty, and other relevant details, was last updated on 2018-08-23.