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Individual

LISA E. LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CNS

Contact information

Practice address
3333 BURNET AVE, ML 11016, CINCINNATI, OH 45229-3039
(513) 636-4780
(513) 636-7139
Mailing address
3333 BURNET AVE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-7567
(866) 422-4002

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
COA.02521-NS
OH

Other

Enumeration date
04/09/2007
Last updated
07/08/2007
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