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Lisa M Long, CRNP
Family Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1164721247

Lisa M Long is a Family Nurse Practitioner based in Philadelphia, PA and is specialized in Family. Lisa M Long practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Lisa M Long is 1164721247 and holds a License No. SP011280 (Pennsylvania).

The current practice location address for Lisa M Long is 51 N 39Th St, Philadelphia, PA and can be reached out via phone at 215-662-9189.

Location: 51 N 39Th St, Philadelphia, PA, 19104-2614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164721247
Provider Name
Lisa M Long
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
51 N 39Th St, Philadelphia, PA, 19104-2614
Phone Number
215-662-9189
Fax Number
Provider Enumeration Date
03/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
51 N 39Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-2640
Phone Number
215-662-9189
Fax Number
person
Provider Business Mailing Address Details
Address
51 N 39Th St
City
Philadelphia
State
Pennsylvania
Zip
19104-2640
Phone Number
215-662-9189
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP011280 (Pennsylvania)
Definition
Definition to come...
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