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NPI Code Detail

MEDICARE: DR. NANCY LYNN LONG M.D.

MEDICARE: DR. NANCY LYNN LONG M.D.
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
1207V00000XObstetrics & Gynecology Physician5916NV

General Provider Information

NPI Number : 1619917291
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY LYNN LONG M.D.
Provider Business Mailing Address
First Line : 8906 SPANISH RIDGE AVE STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1319
Country : US
Telephone Number : 702-330-3102
Fax Number : 702-912-4994
Provider Business Practice Location Address
First Line : 8906 SPANISH RIDGE AVE STE 202
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-1319
Country : US
Telephone Number : 702-577-1622
Fax Number : 702-912-4994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 11/10/2020

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Directions to “ DR. NANCY LYNN LONG M.D.” Practice Location

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