LISA LAVONN LONG RN CNS
NPI 1801072020
Clinical Nurse Specialist - Adult Health in Plymouth, MN

Active since January 17, 2008
2800 CAMPUS DR, SUITE 30, PLYMOUTH, MN 55441(763) 398-2203(763) 398-2233 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Lavonn Long Rn Cns NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA LAVONN LONG RN CNS (NPI 1801072020) is an individual adult health provider in Plymouth, Minnesota, licensed in Minnesota (R1414190) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1801072020
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameLISA LAVONN LONGCredential: RN CNS
Location Address2800 CAMPUS DR, SUITE 30Plymouth, MN 55441-2645
Mailing AddressDivision Of Vascular Surgery, Mmc 195, 420 Delaware Street Se Mmc 195Minneapolis, MN 55455 · (612) 626-4893
Fax(763) 398-2233
Sole ProprietorNo
Enumeration DateJanuary 17, 2008
Last NPPES UpdateJune 27, 2018
NPI 1801072020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License Licensed in MN · R1414190
2800 CAMPUS DR, Plymouth, MN 55441

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Vascular & Interventional Radiology)
2800 CAMPUS DR
PLYMOUTH, MN 55441
Internal Medicine
2800 CAMPUS DR
PLYMOUTH, MN 55441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Long's NPI number?

The NPI number for Lisa Long is 1801072020. It was assigned to this individual provider in the NPPES registry on January 17, 2008.

Where is Lisa Long located?

Lisa Long practices at 2800 Campus Dr Suite 30, Plymouth, MN 55441. The listed phone number is (763) 398-2203.

What is Lisa Long's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

When was this NPI record last updated?

The NPPES record for Lisa Long was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.