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Individual
LAKIETA EDWARDS GLASS
Active
Individual
LAKIETA EDWARDS GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M., W.H.N.P
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
APRN11026457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120554800
—
FL
01
—
MTOLF
BCBS
FL
Enumeration date
03/30/2014
Last updated
01/18/2024
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