Individual
LAURENT G GLANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
168907
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040422801
UNIVERA
NY
01
—
000912182001
BS WNY/HEALTHNOW
NY
05
—
01039096
—
NY
01
—
050074307
RAILROAD MEDICARE
NY
01
—
058141
MVP PROV#
NY
01
—
2222
BLUE SHIELD GROUP#
NY
01
—
4203441
AETNA
NY
01
—
5399012
GHI
NY
01
—
G0189393590
BLUE CHOICE GROUP#
NY
01
—
MDE041
PREFERRED CARE
NY
01
—
P010168907
BLUE CHOICE PROV#
NY
Enumeration date
07/21/2006
Last updated
07/05/2023
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