Lisa Monique Long

NPI #1033639380 in Richardson, Texas

Provider Information

NPI Number: 1033639380
Entity Type: Individual
Name: Lisa Monique Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 27, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 1702 N COLLINS BLVD STE 250
City: Richardson
State: Texas
ZIP Code: 75080-3655
Phone: (469) 607-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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