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1902042476
LISA M LOGAN
TUCSON, AZ
NPI
1902042476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ 090013)
Enumeration Date
2009-01-05
Last Update Date
2009-05-07
Business Address
-- LISA M LOGAN NP
1501 N CAMPBELL AVE
TUCSON, AZ 85724-0001
Phone number: 520-694-7432
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Mailing Address
-- LISA M LOGAN NP
2701 E ELVIRA RD
TUCSON, AZ 85756-7124
Phone number: 520-874-3500
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