LAZEDRICK LOGAN NP NPI 1740708676

NPI Information

  • NPI: 1740708676
  • Provider Name: LAZEDRICK LOGAN, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4131 N CENTRAL EXPY STE 900
    DALLAS, TX
    ZIP 75204
  • Phone: (800) 909-7140

Map and Directions

Get Directions

NPI Details

Lazedrick Logan, NP is a psychiatric/mental health nurse practitioner in Dallas, TX. Lazedrick Logan, NP NPI is 1740708676. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4131 N CENTRAL EXPY STE 900
DALLAS, TX
ZIP 75204-120
Phone: (800) 909-7140

The NPI 1740708676 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2017 and was last updated on 9/17/2022.

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
1163WP0808XRegistered NursePsychiatric/Mental Health829535CALIFORNIANo
2163WP0808XRegistered NursePsychiatric/Mental Health1032186TEXASNo
3363L00000XNurse Practitioner95008515CALIFORNIANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health1032186TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI