LISA REGINA LOGAN RN NPI 1124850391

NPI Information

  • NPI: 1124850391
  • Provider Name: LISA REGINA LOGAN, RN
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 5395 LAKESHORE DR
    HOLLAND, MI
    ZIP 49424
  • Phone: (630) 878-7896

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NPI Details

Lisa Regina Logan, RN is a critical care medicine registered nurse in Holland, MI. Lisa Regina Logan, RN NPI is 1124850391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5395 LAKESHORE DR
HOLLAND, MI
ZIP 49424-039
Phone: (630) 878-7896

The enumeration date for this NPI number is 8/16/2024 and was last updated on 8/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine041522323ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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