Individual
MR. GLEN LAWRENCE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
BOX 530, ROUTE 130, HARRISON CITY, PA 15636
(724) 744-4471
(724) 744-1214
Mailing address
118 STONEYCREEK LN, HARRISON CITY, PA 15636-1308
(724) 744-4974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RT000248A
PA
Other
Enumeration date
12/21/2005
Last updated
07/13/2026
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