LISA LAVONN LONG

PLYMOUTH, MN
NPI1801072020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364SA2200X Clinical Nurse Specialist Adult Health
(Licence: MN  R1414190)
Enumeration Date2008-01-17
Last Update Date2018-06-27
Business Address
LISA LAVONN LONG RN CNS
2800 CAMPUS DR SUITE 30
PLYMOUTH, MN 55441-2645
Phone number: 763-398-2203
Mailing Address
LISA LAVONN LONG RN CNS
DIVISION OF VASCULAR SURGERY, MMC 195 420 DELAWARE STREET SE MMC 195
MINNEAPOLIS, MN 55455
Phone number: 612-626-4893
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