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Contact Information

LISA S LOGAN, MD
301 SAINT PAUL PL
DEPARTMENT OF PATHOLOGY
BALTIMORE, MD21202-2102
 Phone: 410-332-9882
 Fax: 410-234-2558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for LISA S LOGAN · (Female)

NPI Number 1154367860
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0050769
  • MD Other KU59ST / 600433-01 BC / BS OF MD
  • MD Other S797 / S797 BC / BS OF MD
  • MD Other S185 / 0014 BLUECHOICE
Hospital affiliation(s)
  • MERCY MEDICAL CENTER INC - (Acute Care)
    301 SAINT PAUL PLACE
    BALTIMORE, MD 21202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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