LISA LONG

ALBUQUERQUE, NM
NPI1356831572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2018-0086)
Enumeration Date2018-05-14
Last Update Date2025-12-22
Business Address
LISA LONG PA
201 CEDAR ST SE STE 304
ALBUQUERQUE, NM 87106-4932
Phone number: 505-843-7813
Mailing Address
LISA LONG PA
6601 VAUGHT RANCH RD STE 200
AUSTIN, TX 78730-2309
Phone number: 512-628-0465