Individual provider · Type 1 NPI
Lazedrick Logan, NP
Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
NPI number
1740708676
Active
Practice location
4131 N Central Expy Ste 900
Dallas, TX 75204-2120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 829535 (CA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1032186 (TX) |
| Nurse Practitioner | 363L00000X | 95008515 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1032186 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1740708676
Lazedrick Logan, NP's National Provider Identifier is 1740708676, issued on Aug 30, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dallas, TX. The record was last updated on Sep 17, 2022.