Logan, Lazedrick

Logan, Lazedrick is an sole proprietor health care provider with primary practice located at 4131 N Central Expy Ste 900 , Dallas TX 75204-2120. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Logan, Lazedrick can be contacted via phone (800) 909-7140.

Contact Information

Primary practice address
4131 N Central Expy Ste 900 Dallas TX 75204-2120
Phone: (800) 909-7140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 829535 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 1032186 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95008515 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1032186 Texas

Profile Details

NPI number 1740708676
LBN Legal business name Logan, Lazedrick
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2017
Last updated Sep 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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