Individual
LEA A. GLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1801 N. SENATE BLVD MPC2 #3300, INDIANAPOLIS, IN 46202-1228
(317) 923-1787
(317) 962-0262
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002021
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71002021A
IN
Other
Enumeration date
07/18/2006
Last updated
01/20/2022
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