Individual
LACY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-C
Contact information
Practice address
850 NW 58TH ST, OKLAHOMA CITY, OK 73118-5901
(405) 509-4764
Mailing address
341208 E HOPE CIR S, CHANDLER, OK 74834-6673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0110416
OK
363LF0000X
Family Nurse Practitioner
Primary
224062
OK
Other
Enumeration date
10/10/2024
Last updated
08/08/2025
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