LISA M LONG

MARQUETTE, MI
NPI1326039462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MI  4301074655)
Enumeration Date2005-10-28
Last Update Date2009-04-21
Business Address
-- LISA M LONG MD
1414 W FAIR AVE STE 36
MARQUETTE, MI 49855-2675
Phone number: 906-225-3864
Mailing Address
-- LISA M LONG MD
4602 DEPT
CAROL STREAM, IL 60122-0021
Phone number: 906-225-3864
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