Individual provider · Type 1 NPI

Elizabeth Logan

Student in an Organized Health Care Education/Training Program · Pontiac, MI

NPI number 1538071618 Active

Practice location

114 Orchard Lake Rd
Pontiac, MI 48341-2244

Call (248) 858-7766 Map

Mailing address

23013 Floral St
Farmington, MI 48336-3324

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1538071618

Elizabeth Logan's National Provider Identifier is 1538071618, issued on Sep 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pontiac, MI. The record was last updated on Sep 22, 2026.