Individual
LYRIC LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2522 BEAR CREEK COVE LN, DUNCANVILLE, AL 35456-2942
(205) 792-5375
Mailing address
2522 BEAR CREEK COVE LN, DUNCANVILLE, AL 35456-2942
(205) 792-5375
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1-170068
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122686982
—
AL
Enumeration date
10/19/2020
Last updated
10/19/2020
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