SearchMichigan367500000X

Logan Zajac

NPI 1164361580 · on the registry since 2026 · sole proprietor

Practice

Address
1355 Bogue St
East Lansing, MI 48824
Phone
(800) 605-6424
Organisation at this address
Michigan State University
Board Of Trustees Of Michigan State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Additional practice sites

  • 10628 Park Rd, Charlotte, NC

Registry record

Primary taxonomy
367500000X
367500000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-12

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 Michigan