Organization
W. LAWRENCE LONG, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LAWRENCE LONG MD (PRESIDENT)
(270) 885-1244
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, CALDWELL COUNTY HOSPITAL, PRINCETON, KY 42445-0410
(270) 365-0442
(270) 365-0316
Mailing address
PO BOX 42, HOPKINSVILLE, KY 42241-0042
(270) 886-4556
(270) 707-9650
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18271
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185273
BLUE CROSS / BLUE SHIELD
KY
05
—
64182710
—
KY
Enumeration date
03/22/2006
Last updated
05/30/2013
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