Individual
DR. LANA L LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 WEST 4TH STREET, SUITE 2200, CINCINNATI, OH 45202
(513) 421-3376
(513) 618-2128
Mailing address
1 WEST 4TH STREET, SUITE 2200, CINCINNATI, OH 45202
(513) 421-3376
(513) 618-2128
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
31630
KY
207N00000X
Dermatology Physician
35-068727
OH
207N00000X
Dermatology Physician
Primary
35.068727
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64316300
—
KY
Enumeration date
08/08/2006
Last updated
01/03/2019
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