| NPI | 1356458806 |
|---|---|
| Other Name | LANCE PETER LONGO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 37822) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MA 74570) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2024-09-18 |