Individual
LIONEL GLASS
Active
Individual
LIONEL GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301031094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103504593
—
MI
01
—
130635749
BCBS
MI
01
—
27-2558278
TAX ID
MI
Enumeration date
09/13/2006
Last updated
06/23/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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