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

Lisa Long, PA

Individual provider Physician Assistant · NPI 1356831572

Lisa Long, PA is a Physician Assistant in Albuquerque, New Mexico. Graduated from University of New Mexico School of Medicine in 2018, 8 years ago. Practices with Rio Grande Dermatology, PC, an 8-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
8
Trained at
University of New Mexico School of Medicine
Licensed in
NM
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

201 Cedar St SE Ste 304
Albuquerque, NM 87106-4932
Phone: (505) 843-7813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2018-0086 (NM)

Record details

NPI number1356831572
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Rio Grande Dermatology, Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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