Lisa M Glosson in Woodstock - Family Medicine
Lisa M Glosson - NPI 1780642678
Lisa M Glosson is a Family Medicine in Woodstock, Illinois. Lisa M Glosson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lisa M Glosson is 1780642678. The last update date is 2018-10-19.
Lisa M Glosson's current location address is 3707 Doty Rd Ste G, Woodstock, Illinois. You can contact this provider via phone number 8153386600 and fax number 8153389488. The mailing address for Lisa M Glosson is 3707 Doty Rd Ste G, Woodstock, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Glosson |
|---|---|
| Address | 3707 Doty Rd Ste G, Woodstock, Illinois |
| Phone Number | 8153386600 |
| Fax Number | 8153389488 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780642678 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2018-10-19 |
Provider Mailing Address Detail
| Address | 3707 Doty Rd Ste G |
|---|---|
| City | Woodstock |
| State | Illinois (IL) |
| Post Code | 600987530 |
| Phone Number | 8153386600 |
| Fax Number | 8153389488 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36097016 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36097016 | IL | STATE LICENSE | |
| P00012141 | IL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa M Glosson by the Centers for Medicare & Medicaid Services (CMS)?
The Lisa M Glosson has been assigned the NPI (National Provider Identifier) 1780642678. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Lisa M Glosson's facilities are situated?
The facilities of Lisa M Glosson are physically located at the following address: 3707 Doty Rd Ste G, Woodstock, IL, 600987530.
What is the Lisa M Glosson's area of specialization and corresponding taxonomy classification?
The Lisa M Glosson's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Lisa M Glosson receive its 1780642678 assignment from the Centers for Medicare & Medicaid Services?
The Lisa M Glosson was assigned its 1780642678 by the Centers for Medicare & Medicaid Services on 2006-05-02.
When was the Lisa M Glosson's information last updated?
The Lisa M Glosson's information was last updated on 2018-10-19.