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1285271072
LALIDA LONG
ENFIELD, CT
NPI
1285271072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 8578)
Enumeration Date
2019-11-29
Last Update Date
2021-08-25
Business Address
LALIDA LONG DNP, APRN, FNP-BC
140 HAZARD AVE
ENFIELD, CT 06082-5423
Phone number: 860-714-9733
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Mailing Address
LALIDA LONG DNP, APRN, FNP-BC
239 CEDAR RIDGE DR
GLASTONBURY, CT 06033-1815
Phone number: 203-317-0608
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