Individual provider · Type 1 NPI

Laura Erin Long, PA-C

Surgical Physician Assistant · Indianapolis, IN

NPI number 1528067196 Active

Practice location

8402 Harcourt Rd Ste 420
Indianapolis, IN 46260-2053

Call (317) 415-6740 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10000583A (IN)
Surgical Physician Assistant Primary 363AS0400X10000583A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1528067196

Laura Erin Long, PA-C's National Provider Identifier is 1528067196, issued on Jul 18, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on Jul 19, 2022.