Individual
DR. JUSTIN LEE GLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
74000 COUNTRY CLUB DR, PALM DESERT, CA 92260-1685
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6171
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
EL7061
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/25/2022
Last updated
08/27/2025
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