Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PRUDENCE LOGAN, ST
Active Sole ProprietorPRUDENCE LOGAN, ST is a Medical Laboratory Technician healthcare provider located in NORMAL, Illinois. NPI 1457658288 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · NORMAL, IL
Registration Details
- NPI Number
- 1457658288
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2011 (15.306710159991 yrs)
- Last Updated
- Feb 14, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 BOEYKENS PL STE 2ANORMAL, IL, 617612152Browse IL providers · Browse ZIP 61761
- Phone
- 3098464716
- Fax
- 3094547348
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
Other Medical Laboratory Technician Providers in NORMAL, IL
| Name | Credential | NPI |
|---|---|---|
| RISE HADLEY | CST | 1386881860 |
| PETRA BOND | CST | 1811134398 |
| SHERRY GILES | CST | 1841438298 |
| JEANNETTE N FLAUGHER | CST | 1952549305 |
| CANDI HAZELWONDER | CST | 1023256435 |
| ANGELA MOCHEL | CST | 1285872234 |
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.