Individual
LOIS JEAN GLASGOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 CHATSWORTH ST N, ROSEVILLE, MN 55113-6536
(651) 340-5014
Mailing address
1765 CHATSWORTH ST N, ROSEVILLE, MN 55113-6536
(651) 340-5014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R115754-1
MN
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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