Lyssa Edmunds Logue
DO, MPH | Pediatrics | Female
Lyssa Edmunds Logue, DO, MPH is a Saint Petersburg, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Lyssa Edmunds Logue is
5033 Central Ave, Saint Petersburg, Florida - 33710-8240. She can be contacted on phone at
727-334-8523 and fax number 727-292-1164.
Lyssa Edmunds Logue is a sole proprietor of her business.
NPI number (Unique professional ID) for Lyssa Edmunds Logue is
1215197538 which was assigned by NPPES on 10 Jun, 2008 and it was last updated on 06 Mar, 2023.
Lyssa Edmunds Logue license number is
OS11269 for Pediatrics (208000000X) in Florida.
Lyssa Edmunds Logue is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lyssa Edmunds Logue basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lyssa Edmunds Logue |
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| Credential : | DO, MPH |
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| Gender : | Female |
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Business Address:
Lyssa Edmunds Logue address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5033 Central Ave
Saint Petersburg, FL, 33710-8240
United States |
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| Phone Number : | 727-334-8523 |
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| Fax Number : | 727-292-1164 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215197538 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jun, 2008 |
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| Last Updated On : | 06 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lyssa Edmunds Logue are as mentioned. Primary taxonomy code for Lyssa Edmunds Logue, DO, MPH is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | UO1839 | FL |
| 208000000X | Pediatrics | Yes | OS11269 | FL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5033 Central Ave
Saint Petersburg, FL, 33710-8240
United States |
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| Phone Number : | 727-334-8523 |
|---|
| Fax Number : | 727-292-1164 |
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Business Location:
Patients can refer following map for directions to
Lyssa Edmunds Logue practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.