Individual
LYNKOLN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
342 PATRICIA LN STE 105, FORT MILL, SC 29708-6608
(803) 431-7490
(803) 431-7491
Mailing address
2214 OLD CHEROKEE RD, LEXINGTON, SC 29072-9725
(803) 520-9380
(803) 520-5972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN28176
SC
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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