DR. JAMES LEE LONGABAUGH MD12 NPI 1053389247

NPI Information

DR. James Lee Longabaugh, MD12 is a procedural dermatology dermatology in San Luis Obispo, CA. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. James Lee Longabaugh, MD12 NPI is 1053389247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

990 PACIFIC ST
SAN LUIS OBISPO, CA
ZIP 93401-309
Phone: (805) 544-5567
Fax: (805) 544-3265

The enumeration date for this NPI number is 3/14/2006 and was last updated on 6/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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