Long, Lucretia

Long, Lucretia is an individual health care provider with primary practice located at 2050 Kenny Rd , Columbus OH 43221-3502. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Long, Lucretia can be contacted via phone (614) 293-4969.

Contact Information

Primary practice address
2050 Kenny Rd Columbus OH 43221-3502
Phone: (614) 293-4969
Fax: (614) 293-6111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X RN225866 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN.CNP.05002 Ohio

Profile Details

NPI number 1639148752
LBN Legal business name Long, Lucretia
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 15th, 2021 - 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 1639148752 NPPES
Ohio MEDICAID 2704738

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