LYNELLE LOGAN

MINNEAPOLIS, MN
NPI1700293289
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  11676)
Enumeration Date2014-07-17
Last Update Date2021-09-09
Business Address
LYNELLE LOGAN MPAS
800 E 28TH ST STE H2100
MINNEAPOLIS, MN 55407-3723
Phone number: 612-863-3900
Mailing Address
LYNELLE LOGAN MPAS
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-5000