Laura L Long, RD is a
Dietitian, Registered based in Temperance, Michigan. Laura L Long is licensed to practice in Michigan (license number RD86649) and her current practice location is
8765 Lewis Avenue, Temperance, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 847-3802.
NPI number for Laura L Long is 1184783151 and her current mailing address is 408 Deerfield Woods, Lambertville, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184783151.
Healthcare Provider's Profile
Full Name | Laura L Long |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 8765 Lewis Avenue, Temperance, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184783151
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 11/16/2012
Medical Identifiers
Medical identifiers for Laura L Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184783151 | NPI | - | NPPES |
772703126 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | RD86649 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura L Long is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Laura L Long, RD 408 Deerfield Woods, Lambertville, MI 48144 Ph: (734) 854-1356 | Laura L Long, RD 8765 Lewis Avenue, Temperance, MI 48182 Ph: (734) 847-3802 |
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