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Individual

DR. LISA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
790 CHURCH ST NE, SUITE 335, MARIETTA, GA 30060-7282
(770) 590-8311
(770) 590-8313
Mailing address
790 CHURCH ST NE, SUITE 335, MARIETTA, GA 30060-7282
(770) 590-8311
(770) 590-8313

Taxonomy

Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
019618
GA

Other

Enumeration date
09/07/2016
Last updated
09/07/2016
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