Individual
LAURA M. GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 GRACELAWN RD STE 101, AUBURN, ME 04210
(207) 333-4710
(207) 333-4715
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
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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