| NPI | 1538330071 |
|---|---|
| Former Name | LORRI ANNETTE LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN259799) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167726) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2021-01-25 |