Individual
DR. LAKEISHA MACK LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, CME
Contact information
Practice address
301 MAIN ST STE 2200, BATON ROUGE, LA 70801-0014
(504) 319-6078
Mailing address
PO BOX 82, SORRENTO, LA 70778-0082
(504) 319-6078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
223994
LA
Other
Enumeration date
05/20/2022
Last updated
03/03/2025
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