Logan Family Practice, LLC
Logan Family Practice, LLC is a Primary Care Clinic/Center in Logan, New Mexico. Licensed in New Mexico. Registered with an NPI since 2009.
- Licensed in
- NM
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
600 GallegosLogan, NM 88426-7602
Phone: (575) 487-9000
Fax: (575) 487-9002
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence R14626 (NM) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence R14626 (NM) |
Record details
| NPI number | 1902044597 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lajuana Willis — Member · (575) 487-9000 |
| NPI enumerated | February 4, 2009 |
| Last updated in NPPES | February 23, 2014 |
| Mailing address | 600 Gallegos, Logan, NM 88426-7602 |