Dr. Lance P Longo
MD | Addiction Psychiatry | 41+ years Exp
1220 Dewey Ave, Wauwatosa
Wisconsin, 53213-2598
414-773-4311 414-454-6747
Maps & DirectionsDr. Lance P Longo is a Wauwatosa, Wisconsin based psychiatrist with 41 years of experience in Addiction Psychiatry. He completed his graduation from Medical College Of Wisconsin in 1984. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Lance P Longo is 37822 for Psychiatry in Wisconsin. His current practice location is 1220 Dewey Ave, Wauwatosa. Patients can reach him at 414-773-4311 or can fax him at 414-454-6747. Dr. Lance P Longo is MD in Addiction Psychiatry and his NPI number (Unique professional ID assigned by NPPES) is 1356458806.
Dr. Lance P Longo focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Complete Profile:
Dr. Lance P Longo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dr. Lance P Longo |
| Specialization: | Addiction Psychiatry |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 41+ years |
| Medical School Attended: | Medical College Of Wisconsin |
| Graduation Year: | 1984 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1220 Dewey Ave, Wauwatosa,
Wisconsin, 53213-2598 |
| Phone: | 414-773-4311 |
| Fax: | 414-454-6747 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6608862883 |
| Enrollment ID: | I20040422001229 |
| NPI Number: | 1356458806 |
| NPI Enumeration Date: | 23 Aug, 2006 |
| NPI Last Update On: | 18 Sep, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lance P Longo are as mentioned below.
| License Number | Specialization | State | Status | |
| 37822 | Psychiatry | Wisconsin | Primary | |
| 74570 | Addiction Psychiatry | Massachusetts | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Lance P Longo is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Aurora Medical Group, Inc. (6709794258) | 2867 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Lance P Longo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 32273000 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dr. Lance P Longo
Po Box 735044,
Chicago, Illinois |
| Zip: | 60673-5044 |
| Phone Number: | 800-326-2250 |
| Fax Number: | 414-671-8860 |
Patients can reach Dr. Lance P Longo at
1220 Dewey Ave, Wauwatosa, Wisconsin or can
call to book an appointment on 414-773-4311.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.