| Doctor Name: | LAURIE BETH GLANZ |
| NPI Number: | 1285709212 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | LG001020 |
| Business Practice Address: | 35 Church Mt Clemens, MI - 48043 |
| Business Phone Number: | 5864631555 |
| Business Fax Number: | 5864637550 |
| Mailing Address: | 35 Church, MT CLEMENS |
| State: | MI |
| Postal Code: | 48043 |
| Phone Number: | 5864631555 |
| Fax Number: | 5864637550 |
| NPI Enumeration Date: | 11/22/2006 |
| NPI Last Update Date: | 10/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | LG001020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |