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Lisa C Long, RN
Psychiatric/Mental Health Registered Nurse in Bennettsville, South Carolina
NPI 1679897797

Lisa C Long is a Psychiatric/Mental Health Registered Nurse based in Bennettsville, SC and is specialized in Psychiatric/Mental Health. Lisa C Long practices in Bennettsville, SC and has the professional credentials of RN. The NPI Number for Lisa C Long is 1679897797 and holds a License No. 212783 (South Carolina).

The current practice location address for Lisa C Long is 1035 Cheraw St, Bennettsville, SC and can be reached out via phone at 843-454-0442 and via fax at 843-454-0212.

Location: 1035 Cheraw St, Bennettsville, SC, 29512
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Provider Profile Details
NPI Number
1679897797
Provider Name
Lisa C Long
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
1035 Cheraw St, Bennettsville, SC, 29512
Phone Number
843-454-0442
Fax Number
843-454-0212
Provider Enumeration Date
03/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
405127 05 SC
institution
Provider Business Practice Location Address Details
Address
1035 Cheraw St
City
State
Zip
29512
Phone Number
843-454-0442
Fax Number
843-454-0212
person
Provider Business Mailing Address Details
Address
1035 Cheraw St
City
State
Zip
29512
Phone Number
843-454-0442
Fax Number
843-454-0212
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
212783 (North Carolina)
Definition
Definition to come...
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