Individual
DR. LORETTO GLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-4600
Mailing address
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
036-083709
IL
2086S0120X
Pediatric Surgery Physician
35914
OK
Other
Enumeration date
11/16/2005
Last updated
04/28/2021
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