MEDICARE: MRS. DEBRA STORLIEN LONG RD,LD,CNSD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DT027777	TX

General Provider Information

NPI Number	:	1013990159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBRA STORLIEN LONG RD,LD,CNSD

Provider Business Mailing Address
First Line	:	5005 N PIEDRAS ST
Second Line	:	WILLIAM BEAUMONT ARMY MEDICAL ATTN: CREDENTIALS OFFICE
City	:	EL PASO
State	:	TX
Zip	:	79920-5001
Country	:	US
Telephone Number	:	915-569-1382
Fax Number	:	915-569-1233

Provider Business Practice Location Address
First Line	:	8009 TONTO PL
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79904-3123
Country	:	US
Telephone Number	:	915-757-2338
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1649516535 — AMBER REYES LCSW
Practice Location Address:

7272 AUTUMN SAGE DR
EL PASO, TX
79911-3123

Practice Phone: 414-852-0429
Practice Fax:

1477554707 — ADAPT 2 IT
Practice Location Address:

24102 EL TORO RD , SUITE E
LAGUNA WOODS, CA
92637-3123

Practice Phone: 949-457-1600
Practice Fax: 949-457-1614

1952526824 — DR. HUSAM SALAMEH DDS
Practice Location Address:

24102 EL TORO RD STE A
LAGUNA WOODS, CA
92637-3123

Practice Phone: 949-830-6510
Practice Fax:

1699978999 — DR. MOHSIN MAHMOOD D.D.S
Practice Location Address:

24102 EL TORO RD , SUITE A
LAGUNA WOODS, CA
92637-3123

Practice Phone: 949-830-6510
Practice Fax: 949-472-4073

1295938405 — LESIURE DENTAL
Practice Location Address:

24102 EL TORO RD , SUITE A
LAGUNA WOODS, CA
92637-3123

Practice Phone: 949-830-6510
Practice Fax: 949-472-4073

1245414242 — MINAKA, INC
Practice Location Address:

24102 EL TORO RD STE I
LAGUNA HILLS, CA
92637-3123

Practice Phone: 949-455-0404
Practice Fax:

Directions to “ MRS. DEBRA STORLIEN LONG RD,LD,CNSD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.