Individual
LAURIE A LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4524 BROOKSHIRE CT, MASON, OH 45040-3031
(513) 283-1963
Mailing address
4524 BROOKSHIRE CT, MASON, OH 45040-3031
(513) 283-1963
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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