Individual
LAURA M. GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA724
ME
363AS0400X
Surgical Physician Assistant
PA-724
ME
363AS0400X
Surgical Physician Assistant
Primary
PA724
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098680
ANTHEM
ME
Enumeration date
10/10/2006
Last updated
06/03/2022
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