Individual
LISA M GLAZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1633 N CAPITOL AVE, SUITE 500, INDIANAPOLIS, IN 46202-1261
(317) 962-5014
(317) 962-2427
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 788-9769
(317) 781-4868
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000205A
IN
367A00000X
Advanced Practice Midwife
72000103A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200522930
—
IN
Enumeration date
11/10/2005
Last updated
04/04/2024
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