RICHARD L. LONG

MANDEVILLE, LA
NPI1407891443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  000041)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MS  10861)
Enumeration Date2006-06-16
Last Update Date2012-07-31
Business Address
Dr. RICHARD L. LONG D.O.
201 ST. ANN DRIVE SUITE B
MANDEVILLE, LA 70471
Phone number: 985-626-1717
Mailing Address
Dr. RICHARD L. LONG D.O.
201 ST. ANN DRIVE SUITE B
MANDEVILLE, LA 70471
Phone number: 985-626-1717
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