Lisa Marie Logan, PA-C
Lisa Marie Logan, PA-C is a Physician Assistant in Tonopah, Nevada. Qualified in 2006, 20 years ago. Practices with Community Care Services LLC, a 628-clinician group and accepts Medicare assignment. Licensed in Nevada.
- Years since qualifying
- 20
- Licensed in
- NV
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
825 S Main StTonopah, NV 89049
Phone: (775) 982-8255
Fax: (775) 982-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA1023 (NV) |
|---|
Record details
| NPI number | 1114098464 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | November 10, 2006 |
| Last updated in NPPES | August 23, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Community Care Services Llc — 628 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Tonopah
-
Kurt Rettig
825 Erie Main St, Tonopah, NV 89049-0391 · (775) 482-6233