MEDICARE: LILY ANNE LOGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1376402883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILY ANNE LOGAN

Provider Business Mailing Address
First Line	:	1908 COYOTE PASS WAY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-2160
Country	:	US
Telephone Number	:	702-419-1915
Fax Number	:

Provider Business Practice Location Address
First Line	:	1908 COYOTE PASS WAY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89012-2160
Country	:	US
Telephone Number	:	702-419-1915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

Similar Medicare Providers

1063369858 — SARAH ELIZABETH CAMPBELL
Practice Location Address:

3675 VOLUNTEER BLVD UNIT 2160
HENDERSON, NV
89044-1940

Practice Phone: 702-483-0734
Practice Fax:

1174291116 — SARAH GRUMAN IBCLC
Practice Location Address:

170 S GREEN VALLEY PKWY STE 300
HENDERSON, NV
89012-3145

Practice Phone: 650-223-4208
Practice Fax:

1215810965 — SYDNEY DANIELLE BABAKITIS
Practice Location Address:

262 CALLE PALACIO ST
HENDERSON, NV
89012-4899

Practice Phone: 702-224-4537
Practice Fax:

1376490797 — ERVIN D. LEE
Practice Location Address:

80 S GIBSON RD APT 1211
HENDERSON, NV
89012-2437

Practice Phone: 702-855-3382
Practice Fax: 702-855-3384

1962205013 — MLM MEDICAL SERVICES PLLC
Practice Location Address:

55 S VALLE VERDE DR STE 265
HENDERSON, NV
89012-3434

Practice Phone: 702-860-5388
Practice Fax:

1104384924 — NEVADA HEALTH TANITA PLLC
Practice Location Address:

1348 PASEO VERDE PKWY STE 100
HENDERSON, NV
89012-5723

Practice Phone: 702-847-6252
Practice Fax: 702-847-6254

Directions to “ LILY ANNE LOGAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.