Most Relevant Information
Provider Data
| NPI Number: | 1003047838 |
| Provider Name: | MARY LUCILLE LONG P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 995 |
Most Important Dates
| Enumeration Date: | 07/28/2009 |
| Last Updated: | 07/28/2009 |
Provider Practice Location
5401 SOUTH ST
LINCOLN
NE
685062150
Practice Location Phone/Fax
| Phone: | 4024897102 |
| Fax: | 4024869098 |
Provider Mailing Location
5401 SOUTH ST
LINCOLN
NE
685062150
Provider Mailing Phone/Fax
| Phone: | 4024897102 |
| Fax: | 4024869098 |