Dr. Lance P Longo is a Wauwatosa, Wisconsin based psychiatrist with 40 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:
40+ 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.