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

Logan Lee Ellis, RDNLDN

Individual provider Registered Dietitian · NPI 1417605114

Logan Lee Ellis, RDNLDN is a Registered Dietitian in Susquehanna, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2022.

Licensed in
PA
In the registry since
2022

Practice location Address checks out

2872 Turnpike St
Susquehanna, PA 18847-2771
Phone: (570) 853-3135
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86105199 (PA)

Record details

NPI number1417605114
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDNLDN
Sole proprietorNo
NPI enumeratedMarch 13, 2022
Last updated in NPPESMarch 20, 2022
Certification dateMarch 20, 2022

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