Lori Glassie PA-C

NPI 1720010226 - Physician Assistant - 363A00000X

NPI Details
NPI 1720010226
Gender Female
Enumeration Date 07/07/2006
Last Updated 05/14/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2325 CLEMENT AVE
SUITE B
ALAMEDA CA, 94501-7063, US
Phone (510) 522-4668
Fax (510) 521-6729
Business Location
2325 CLEMENT AVE
SUITE B
ALAMEDA CA, 94501-7063, US
Phone (510) 522-4668
Fax (510) 521-6729
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA16115
Remove 1720010226 NPI Number
 

According to our database, Ms. Lori Glassie PA-C NPI is 1720010226, taxonomy code is 363A00000X and license number is PA16115, license state is located at California. Lori Glassie PA-C physically located at 2325 Clement Ave, Alameda CA, 94501-7063. NPI Number Lori Glassie PA-C has the Individual type.

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1720010226 NPI number is provided on an as is basis without warranty of any kind. 1720010226 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Glassie PA-C are for informational purposes only.