Stacey M Lettis Logan
MD | Pediatrics | Female
Stacey M Lettis Logan, MD is a Anchorage, Alaska based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stacey M Lettis Logan is
2925 Debarr Rd, Suite 230, Anchorage, Alaska - 99508-2959. She can be contacted on phone at
907-777-1800.
Stacey M Lettis Logan is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacey M Lettis Logan is
1972765774 which was assigned by NPPES on 02 Jul, 2008 and it was last updated on 29 Jun, 2016.
Stacey M Lettis Logan license number is
7772 for Pediatrics (208000000X) in Alaska.
Stacey M Lettis Logan 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:
Stacey M Lettis Logan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Stacey M Lettis Logan |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
| Sole Proprietor : | Yes |
|---|
Business Address:
Stacey M Lettis Logan 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 : | 2925 Debarr Rd, Suite 230
Anchorage, AK, 99508-2959
United States |
|---|
| Phone Number : | 907-777-1800 |
|---|
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 : | 1972765774 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Jul, 2008 |
|---|
| Last Updated On : | 29 Jun, 2016 |
|---|
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 Stacey M Lettis Logan are as mentioned. Primary taxonomy code for Stacey M Lettis Logan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 7772 | AK |
Legacy Identifiers:
Other legacy medical identifiers of Stacey M Lettis Logan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1585092 | MEDICAID | AK | |
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 : | 2925 Debarr Rd, Suite 230
Anchorage, AK, 99508-2959
United States |
|---|
| Phone Number : | 907-777-1800 |
|---|
Business Location:
Patients can refer following map for directions to
Stacey M Lettis Logan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.