Logan, Lisa

Logan, Lisa is an sole proprietor health care provider with primary practice located at 3102 E. Highland Avenue Medical Staff Office, Patton CA 92369. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Logan, Lisa can be contacted via phone (909) 425-7000.

Contact Information

Primary practice address
3102 E. Highland Avenue Medical Staff Office Patton CA 92369
Phone: (909) 425-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 23593 California

Profile Details

NPI number 1568732444
LBN Legal business name Logan, Lisa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2012
Last updated Feb 14th, 2023 - about last year

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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