Individual
LAURIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 CHESTNUT ST STE 203, BIRMINGHAM, MI 48009-6464
(248) 430-8425
Mailing address
751 CHESTNUT ST STE 203, BIRMINGHAM, MI 48009-6464
(248) 430-8425
(248) 282-7407
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000160
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601000160
LICENSE
MI
Enumeration date
03/12/2008
Last updated
06/22/2026
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