Individual
LAUREN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D, CCC-A
Contact information
Practice address
20006 WOLF RD, MOKENA, IL 60448-1320
(815) 513-5268
Mailing address
20006 WOLF RD, MOKENA, IL 60448-1320
(815) 513-5268
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001565
IL
Other
Enumeration date
08/18/2015
Last updated
09/30/2016
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