| Lisa Regina Logan, RN | |
|
5395 Lakeshore Dr, Holland, MI 49424-1039 | |
| (630) 878-7896 | |
| Not Available |
| Full Name | Lisa Regina Logan |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Location | 5395 Lakeshore Dr, Holland, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124850391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209035807 (Illinois) | Primary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 041522323 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sarah Bush Lincoln Health Center | 5092614867 | 411 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Regina Logan, RN 5395 Lakeshore Dr, Holland, MI 49424-1039 Ph: Not Available | Lisa Regina Logan, RN 5395 Lakeshore Dr, Holland, MI 49424-1039 Ph: (630) 878-7896 |
Mr. Tyler James Loveless, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 588 E 40th St, Suite C, Holland, MI 49423 Phone: 616-399-4946 |
Austin Rund, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 |
Bradley J Norden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 |
Mrs. Megan Elizabeth Keyser, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 |
Timothy J Ufkes, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 |
David Bruce Hoeksema, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 999 Washington Ave, Holland, MI 49423 Phone: 616-396-5493 Fax: 616-396-0085 |
Ryan Borr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-392-5141 |