Lisa Longo's National Provider Identifier (NPI) Details
Lisa Longo, MaEd/WSC
NPI: 1902813819
Enumeration Date: 2006-08-02
Last updated: 2007-07-09
Sole Proprietor: YES
Status: active
Postal Address: 814 DESOTO AVE, LEHIGH ACRES, FL
Phone: 239-303-2900
Primary Practice Address: 814 DESOTO AVE, LEHIGH ACRES, FL
Practice's phone: 239-303-2900