Individual
LORETTA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMW
Contact information
Practice address
15 MESSIMER DR, NEWARK, OH 43055-1841
(220) 564-4691
(220) 564-1975
Mailing address
15 MESSIMER DR, NEWARK, OH 43055-1841
(220) 564-4691
(220) 564-1975
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
COA.04228.NM
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078595
—
OH
Enumeration date
10/23/2006
Last updated
03/18/2021
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