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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TRACEY ELAINE LOGAN, LPN

Active Sole Proprietor

MRS. TRACEY ELAINE LOGAN, LPN is a Licensed Practical Nurse healthcare provider located in WAKEMAN, Ohio. NPI 1073870267 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · WAKEMAN, OH

Registration Details

NPI Number
1073870267
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2012 (14.330730728814 yrs)
Last Updated
Apr 12, 2012
License
PN109065-M-IV (OH)
Sole Proprietor
Yes

Practice Information

Address
4466 SEMINARY ST
WAKEMAN, OH, 448899208
Browse OH providers · Browse ZIP 44889
Phone
5673516317
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in WAKEMAN, OH

Name Credential NPI
JESSIE LYNN SPIEGELBERG LPN 1760609028
MR. ZSOLT K SINKA 1164662458
LISA BAILEY 1124577531
MARY T MCCALLISTER 1396582672
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.