Individual
GLENN BRIAN LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5001
(915) 598-0474
Mailing address
4221 PERTH DR, EL PASO, TX 79922-1226
(915) 833-4778
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
149313
TX
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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