Lacy Long, is a
Registered Nurse based in Chandler, Oklahoma. Lacy Long is licensed to practice in Oklahoma (license number R0110416) and her current practice location is
341208 E Hope Cir S, Chandler, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 509-4764.
NPI number for Lacy Long is 1396564894 and her current mailing address is 341208 E Hope Cir S, Chandler, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396564894.
Provider's Profile
| Full Name | Lacy Long |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 341208 E Hope Cir S, Chandler, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396564894
- Provider Enumeration Date: 10/10/2024
- Last Update Date: 10/21/2024
Medical Identifiers
Medical identifiers for Lacy Long such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396564894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R0110416 (Oklahoma) | 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. Lacy 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 |
|---|
Lacy Long,
341208 E Hope Cir S,
Chandler, OK 74834-6673
Ph: () - | Lacy Long,
341208 E Hope Cir S,
Chandler, OK 74834-6673
Ph: (405) 509-4764 |
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