Individual provider · Type 1 NPI

Lisa Regina Logan, RN

Certified Registered Nurse Anesthetist · Holland, MI

NPI number 1124850391 Active

Practice location

5395 Lakeshore Dr
Holland, MI 49424-1039

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X041522323 (IL)
Certified Registered Nurse Anesthetist Primary 367500000X209035807 (IL)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1124850391

Lisa Regina Logan, RN's National Provider Identifier is 1124850391, issued on Aug 16, 2024. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Holland, MI. The record was last updated on Jun 30, 2026.