Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lance P Longo, MD

Individual provider Addiction Psychiatry Physician · NPI 1356458806

Dr. Lance P Longo, MD is a Psychiatry in Wauwatosa, Wisconsin. Graduated from Medical College of Wisconsin in 1984, 42 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Wisconsin.

Years since qualifying
42
Trained at
Medical College of Wisconsin
Licensed in
MA, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1220 Dewey Ave
Wauwatosa, WI 53213-2598
Phone: (414) 773-4311
Fax: (414) 454-6747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 37822 (WI)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 74570 (MA)

Record details

NPI number1356458806
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1984 (42 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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