Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TRACY L LOGAN
Active
Individual
TRACY L LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 115279
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2687614
—
OH
Enumeration date
03/22/2007
Last updated
04/09/2008
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