Logan, Susan Lee

Logan, Susan Lee is an individual health care provider with primary practice located at 7780 N Fresno St Ste 100, Fresno CA 93720-2413. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Logan, Susan Lee can be contacted via phone (559) 500-4502.

Contact Information

Primary practice address
7780 N Fresno St Ste 100 Fresno CA 93720-2413
Phone: (559) 500-4502
Fax: (559) 573-8749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X A81958 California
Allopathic & Osteopathic Physicians / Surgery 208600000X A81958 California

Profile Details

NPI number 1831372242
LBN Legal business name Logan, Susan Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2007
Last updated Nov 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831372242 NPPES
California Other 00A819580 MEDI-CAL

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