Long, Lori Ann

Long, Lori Ann is an individual health care provider with primary practice located at 1800 S Mccall Rd , Englewood FL 34223-4958. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Long, Lori Ann can be contacted via phone (941) 474-2020.

Contact Information

Primary practice address
1800 S Mccall Rd Englewood FL 34223-4958
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 2800 Florida

Profile Details

NPI number 1477685931
LBN Legal business name Long, Lori Ann
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2007
Last updated Feb 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477685931 NPPES
Florida Other 20540 BC/BS FLORIDA
Florida Other 20540W BC/BS FLORIDA

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