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Logan Black
NPI 1053293647 · on the registry since 2025 · sole proprietor
Practice
- Address
- 8620 Covenant Ct
Lincoln, NE 68526 - Phone
- (402) 318-8363
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2025-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska