Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Regina Logan, RN

Individual provider Critical Care Medicine Registered Nurse · NPI 1124850391

Lisa Regina Logan, RN is a Certified Registered Nurse Anesthetist (CRNA) in Holland, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

5395 Lakeshore Dr
Holland, MI 49424-1039
Phone: (630) 878-7896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Health Center Dr, Mattoon, IL 61938-4644 — (217) 238-4329

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209035807 (IL)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 041522323 (IL)

Record details

NPI number1124850391
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 16, 2024
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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