Lanclos, Glenn Wilson

Lanclos, Glenn Wilson is an individual health care provider with primary practice located at 1151 Marguerite St , Morgan City LA 70380-1850. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Lanclos, Glenn Wilson can be contacted via phone (985) 380-2200.

Contact Information

Primary practice address
1151 Marguerite St Morgan City LA 70380-1850
Phone: (985) 380-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP05639 Louisiana

Profile Details

NPI number 1215180211
LBN Legal business name Lanclos, Glenn Wilson
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2008
Last updated Sep 20th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215180211 NPPES
Louisiana MEDICAID 2336720

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