Individual
MRS. LYNN E PERKINS GLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN NCLC
Contact information
Practice address
300 E OSBORN, PHY, AZ 85012
(602) 277-3152
(602) 234-1552
Mailing address
300 E OSBORN, SUITE 201, PHOENIX, AZ 85012
(602) 277-3152
(602) 234-1552
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
613
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25104
AVESIS
AZ
Enumeration date
02/19/2008
Last updated
02/19/2008
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