Individual provider · Type 1 NPI

Logan B. Long, PA-C

Physician Assistant · Paoli, PA

NPI number 1245180306 Active

Practice location

255 W Lancaster Ave
Paoli, PA 19301-1763

Mailing address

PO Box 22
Lederach, PA 19450-0022

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245180306

Logan B. Long, PA-C's National Provider Identifier is 1245180306, issued on Jan 29, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Paoli, PA. The record was last updated on Sep 15, 2026.