Individual provider · Type 1 NPI
Lisa Lavonn Long, RN CNS
Adult Health Clinical Nurse Specialist · Plymouth, MN
NPI number
1801072020
Active
Practice location
2800 Campus Dr, Suite 30
Plymouth, MN 55441-2645
Fax (763) 398-2233
Mailing address
Division Of Vascular Surgery, Mmc 195, 420 Delaware Street SE Mmc 195
Minneapolis, MN 55455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | R1414190 (MN) |
Adult Health Clinical Nurse Specialist: Definition to come...
2 other providers at this address
About NPI 1801072020
Lisa Lavonn Long, RN CNS's National Provider Identifier is 1801072020, issued on Jan 17, 2008. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Plymouth, MN. The record was last updated on Jun 27, 2018.