Lisa R Long, DC | |
307 E Karsch Blvd, Farmington, MO 63640-1203 | |
(573) 760-1515 | |
(573) 760-0817 |
Full Name | Lisa R Long |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 36 Years |
Location | 307 E Karsch Blvd, Farmington, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104818731 | NPI | - | NPPES |
10410T002 | Other | MO | COVENTRY HEALTH |
T2448 | Other | MO | MERCY HEALTH PLANS |
105957 | Other | MO | BC/BS OF MISSOURI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5812 (Missouri) | Primary |
Provider Name | Long Chiropractic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1528288693 PECOS PAC ID: 0244411536 Enrollment ID: O20110218000830 |
Mailing Address | Practice Location Address |
---|---|
Lisa R Long, DC 307 E Karsch Blvd, Farmington, MO 63640-1203 Ph: (573) 760-1515 | Lisa R Long, DC 307 E Karsch Blvd, Farmington, MO 63640-1203 Ph: (573) 760-1515 |
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