Individual
LONG JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY DEPT OF, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
MD.202237
LA
207ZP0101X
Anatomic Pathology Physician
MD.202237
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD.202237
LA
Other
Enumeration date
05/01/2008
Last updated
02/12/2025
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