Logue, Lyssa Edmunds

Logue, Lyssa Edmunds is an individual health care provider with primary practice located at 5033 Central Ave , Saint Petersburg FL 33710-8240. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Logue, Lyssa Edmunds can be contacted via phone (727) 334-8523.

Contact Information

Primary practice address
5033 Central Ave Saint Petersburg FL 33710-8240
Phone: (727) 334-8523
Fax: (727) 292-1164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X UO1839 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS11269 Florida

Profile Details

NPI number 1215197538
LBN Legal business name Logue, Lyssa Edmunds
Credentials DO, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Mar 6th, 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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