Individual
LAUREN ASHLEY GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5011
Mailing address
1969 W HART RD, BELOIT, WI 53511-2230
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
7788-23
WI
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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