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Lisa R Long, DC
Chiropractor in Farmington, Missouri
NPI 1104818731

Lisa R Long is a Chiropractor based in Farmington, MO. Lisa R Long practices in Farmington, MO and has the professional credentials of DC. The NPI Number for Lisa R Long is 1104818731 and holds a License No. 5812 (Missouri).

The current practice location address for Lisa R Long is 307 E Karsch Blvd, Farmington, MO and can be reached out via phone at 573-760-1515 and via fax at 573-760-0817.

Location: 307 E Karsch Blvd, Farmington, MO, 63640-1203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104818731
Provider Name
Lisa R Long
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
307 E Karsch Blvd, Farmington, MO, 63640-1203
Phone Number
573-760-1515
Fax Number
573-760-0817
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10410T002 01 MO COVENTRY HEALTH
T2448 01 MO MERCY HEALTH PLANS
105957 01 MO BC/BS OF MISSOURI
institution
Provider Business Practice Location Address Details
Address
307 E Karsch Blvd
City
Farmington
State
Missouri
Zip
63640-1203
Phone Number
573-760-1515
Fax Number
573-760-0817
person
Provider Business Mailing Address Details
Address
307 E Karsch Blvd
City
Farmington
State
Missouri
Zip
63640-1203
Phone Number
573-760-1515
Fax Number
573-760-0817
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
5812 (Missouri)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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