Individual
LYNNDAH RENNAE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 S GRAND AVE, SPENCER, IA 51301-5731
(712) 262-1523
(712) 262-1244
Mailing address
715 S GRAND AVE, SPENCER, IA 51301-5731
(712) 262-1523
(712) 262-1244
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16174
IA
183500000X
Pharmacist
27130
TX
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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