Individual
DR. LANCE MATTHEW GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8619 WEST PT DOUGLAS RD, SUITE 110, COTTAGE GROVE, MN 55016-3389
(651) 458-0094
(651) 251-2273
Mailing address
8619 WEST PT DOUGLAS RD, SUITE 110, COTTAGE GROVE, MN 55016-3389
(651) 458-0094
(651) 251-2273
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3497
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530PZGL
BLUE CROSS
MN
01
—
606280
CHIRO CARE
MN
Enumeration date
02/27/2007
Last updated
07/08/2007
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