| NPI | 1588692511 |
|---|---|
| Former Name | LORI LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO CO34542) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 34542) |
| 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: CO CO34542) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2014-12-04 |