Individual
LYNELLE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
2123 AUBURN AVE STE 428, CINCINNATI, OH 45219-2906
(513) 206-1222
(513) 585-2095
Mailing address
2123 AUBURN AVE STE 428, CINCINNATI, OH 45219-2906
(513) 206-1222
(513) 585-2095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11676
MN
363A00000X
Physician Assistant
Primary
50.009362RX
OH
Other
Enumeration date
07/17/2014
Last updated
05/05/2026
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