Individual
LAUREN IVY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 265-4225
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 265-4225
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/31/2025
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