# MICHAEL LAWRENCE LONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1437885910
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SL0600X | Long-Term Care Clinical Nurse Specialist | 28193730A | IN | Yes |

## Other

- **Enumeration date:** 07/27/2022
- **Last updated:** 07/27/2022
