DR. Lawrence E Long III, MD

NPI #1396735346 in The Dalles, Oregon

Provider Information

NPI Number: 1396735346
Entity Type: Individual
Name: DR. Lawrence E Long III, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Oct 21, 2005
Last Updated: Dec 6, 2007

Practice Location

Address: 1700 E 19TH ST
City: The Dalles
State: Oregon
ZIP Code: 97058-3317
Phone: (541) 296-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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