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Individual
MS. LISA M GLANTZ
Active
Individual
MS. LISA M GLANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-NIC, ARNP, DNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
K105229
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264995-00
—
NE
05
—
1790967081
—
IA
Enumeration date
11/29/2007
Last updated
03/06/2018
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