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

LISA MARIE LOGAN, PA-C

Active

LISA MARIE LOGAN, PA-C is a Physician Assistant healthcare provider located in TONOPAH, Nevada. NPI 1114098464 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · TONOPAH, NV

Registration Details

NPI Number
1114098464
Provider Type
Individual
Gender
Female
NPI Issued
Nov 10, 2006 (19.736523212431 yrs)
Last Updated
Aug 23, 2018
License
PA1023 (NV)

Practice Information

Address
825 S MAIN ST.
TONOPAH, NV, 89049
Browse NV providers · Browse ZIP 89049
Phone
7759828255
Fax
7759823900
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in TONOPAH, NV

Name Credential NPI
KURT RETTIG 1922342708
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.