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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISA LAVONN LONG, RN CNS

Active

LISA LAVONN LONG, RN CNS is a Adult Health Clinical Nurse Specialist healthcare provider located in PLYMOUTH, Minnesota. NPI 1801072020 is currently active in the NPPES registry. Verify at CMS.

Adult Health Clinical Nurse Specialist · PLYMOUTH, MN

Registration Details

NPI Number
1801072020
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2008 (18.620138900113 yrs)
Last Updated
Jun 27, 2018
License
R1414190 (MN)

Practice Information

Address
2800 CAMPUS DR
SUITE 30
PLYMOUTH, MN, 554412645
Browse MN providers · Browse ZIP 55441
Phone
7633982203
Fax
7633982233
Primary Specialty
Adult Health Clinical Nurse Specialist
364SA2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.