LISA M LONG

PHILADELPHIA, PA
NPI1164721247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP011280)
Enumeration Date2011-03-15
Last Update Date2011-03-15
Business Address
-- LISA M LONG CRNP
51 N 39TH ST 4 PHI
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-9189
Mailing Address
-- LISA M LONG CRNP
51 NORTH 39TH STREET 4 PHI
PHILADELPHIA, PA 19104-2614
Phone number: 215-662-9189
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