Individual
LAURIE M GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
232 WEST 25TH STREET NICU, ERIE, PA 16544-0002
(814) 452-5853
(814) 452-5583
Mailing address
201 STATE ST, NICU, ERIE, PA 16550-0002
(814) 877-6165
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
SP010653
PA
Other
Enumeration date
12/21/2009
Last updated
10/06/2022
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