Logan, Lisa S

Logan, Lisa S is an individual health care provider with primary practice located at 301 Saint Paul Pl Department Of Pathology, Baltimore MD 21202-2102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as her primary health care specialty. Logan, Lisa S can be contacted via phone (410) 332-9882.

Contact Information

Primary practice address
301 Saint Paul Pl Department Of Pathology Baltimore MD 21202-2102
Phone: (410) 332-9882
Fax: (410) 234-2558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X D0050769 Maryland

Profile Details

NPI number 1154367860
LBN Legal business name Logan, Lisa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154367860 NPPES
Maryland Other KU59ST / 600433-01 BC / BS OF MD
Maryland Other S797 / S797 BC / BS OF MD
Maryland Other S185 / 0014 BC / BS OF MD

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