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1902544976
LAKEISHA MACK LONG
DALLAS, TX
NPI
1902544976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 223994)
Enumeration Date
2022-05-20
Last Update Date
2024-11-06
Business Address
Dr. LAKEISHA MACK LONG DNP, FNP-BC, CME
4055 VALLEY VIEW LN
DALLAS, TX 75244-5074
Phone number: 504-319-6078
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Mailing Address
Dr. LAKEISHA MACK LONG DNP, FNP-BC, CME
41247 COLONIAL DR
SORRENTO, LA 70778-3426
Phone number: 504-319-6078
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