LYDIA LOUISE LONG

GREENVILLE, SC
NPI1801165311
Former NameLYDIA LOUISE HODGES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  088677)
Enumeration Date2011-12-29
Last Update Date2023-06-13
Business Address
LYDIA LOUISE LONG CRNA
701 GROVE RD
GREENVILLE, SC 29605-5611
Phone number: 864-455-7000
Mailing Address
LYDIA LOUISE LONG CRNA
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603