Individual
DR. AMANDA D. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
160 LAKEVIEW DR, NOBLESVILLE, IN 46060-1307
(317) 773-4482
(317) 770-3796
Mailing address
160 LAKEVIEW DR, NOBLESVILLE, IN 46060-1307
(317) 773-4482
(317) 770-3796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003462A
IN
Other
Enumeration date
07/06/2007
Last updated
06/29/2009
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