Individual
LORIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20000 HARVARD AVE, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 491-6715
Mailing address
1619 E 82ND ST, CLEVELAND, OH 44103-3409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004530
OH
Other
Enumeration date
10/30/2015
Last updated
02/05/2018
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