Lisa Lavonn Long, RN CNS is a
Clinical Nurse Specialist - Adult Health based in Plymouth, Minnesota. Lisa Lavonn Long is licensed to practice in Minnesota (license number R1414190) and her current practice location is
2800 Campus Dr, Suite 30, Plymouth, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(763) 398-2203.
NPI number for Lisa Lavonn Long is 1801072020 and her current mailing address is Division Of Vascular Surgery, Mmc 195, 420 Delaware Street Se Mmc 195, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801072020.
Provider's Profile
Full Name | Lisa Lavonn Long |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 2800 Campus Dr, Plymouth, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801072020
- Provider Enumeration Date: 01/17/2008
- Last Update Date: 06/27/2018
Medical Identifiers
Medical identifiers for Lisa Lavonn Long such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801072020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | R1414190 (Minnesota) | 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. Lisa Lavonn 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 |
Lisa Lavonn Long, RN CNS Division Of Vascular Surgery, Mmc 195, 420 Delaware Street Se Mmc 195, Minneapolis, MN 55455 Ph: (612) 626-4893 | Lisa Lavonn Long, RN CNS 2800 Campus Dr, Suite 30, Plymouth, MN 55441-2645 Ph: (763) 398-2203 |
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