Individual
DR. LAWRENCE MICHAEL GLANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 W LIBERTY ST, ROME, NY 13440-5758
(315) 339-0401
(315) 339-2957
Mailing address
117 W LIBERTY ST, ROME, NY 13440-5758
(315) 339-0401
(315) 339-2957
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
165244-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00-961-702
—
NY
Enumeration date
07/26/2005
Last updated
03/19/2013
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