person
Lisa G Glass, APRN
Women's Health Nurse Practitioner in Louisville, Kentucky
NPI 1275534091

Lisa G Glass is a Women's Health Nurse Practitioner based in Louisville, KY and is specialized in Women's Health. Lisa G Glass practices in Louisville, KY and has the professional credentials of APRN. The NPI Number for Lisa G Glass is 1275534091 and holds a License No. 3002970 (Kentucky).

The current practice location address for Lisa G Glass is 3015 Wilson Ave, Louisville, KY and can be reached out via phone at 502-774-4401 and via fax at 502-772-4783.

Location: 3015 Wilson Ave, Louisville, KY, 40211-1969
person
Provider Profile Details
NPI Number
1275534091
Provider Name
Lisa G Glass
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3015 Wilson Ave, Louisville, KY, 40211-1969
Phone Number
502-774-4401
Fax Number
502-772-4783
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000066843 01 BLUE ACCESS/BLUE PREF.
61-1708562D 01 HUMANA
78029709 05 KY
7719001 01 AETNA
institution
Provider Business Practice Location Address Details
Address
3015 Wilson Ave
City
State
Zip
40211-1969
Phone Number
502-774-4401
Fax Number
502-772-4783
person
Provider Business Mailing Address Details
Address
3015 Wilson Ave
City
State
Zip
40211-1969
Phone Number
502-774-4401
Fax Number
502-772-4783
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
3002970 (Kentucky)
Definition
Definition to come...
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