Individual
DR. CYNTHIA A GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY, SUITE 308, LAFAYETTE, LA 70508-6949
(337) 289-5277
(337) 289-5273
Mailing address
4630 AMBASSADOR CAFFERY, SUITE 308, LAFAYETTE, LA 70508-6949
(337) 289-5277
(337) 289-5273
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
LA1714519
LA
208200000X
Plastic Surgery Physician
Primary
MD.015672
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343188
—
LA
05
—
1452921
—
LA
Enumeration date
07/24/2006
Last updated
06/28/2017
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