MR. GLENN WILSON LANCLOS


Address: 1105 Northwest Blvd, Franklin, LA 70538
Phone: 3379076338

MR. GLENN WILSON LANCLOS (NPI# 1215180211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215180211
Entity Type Individual
Full Name MR. GLENN WILSON LANCLOS
Credential FNP-C
Practice Address 1105 Northwest Blvd
Franklin
LA 70538
Practice Telephone 3379076338
Mailing Telephone 3379076338
Enumeration Date 2008-11-04
Last Update Date 2013-08-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP05639 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 2336720 05

Office Location

Street Address 1105 NORTHWEST BLVD
City FRANKLIN
State LA
Zip Code 70538

Providers in the same location

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1932161718 Teche Diagnostic Imaging Center LLC Clinical Medical Laboratory 1105 Northwest Blvd, Franklin, LA 70538-3409 2006-04-05
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1093977712 Timothy J. Haley IIi Md Apmc Radiology 1105 Northwest Blvd, Franklin, LA 70538-3409 2008-06-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154790327 Bogalusa Rehabilitation Hospital LLC Rehabilitation Hospital 604 Palfrey Street, Franklin, LA 70538 2015-09-17
1720325855 Thomas Frere Kramer Obstetrics & Gynecology 4484 Irish Bend Rd., Franklin, LA 70538 2013-01-09
1073797098 Jaba Enterprises Inc Home Health 1101 Northwest Blvd, Franklin, LA 70538 2007-12-27
1578784195 Jeffrey Neil Jordan Clinic/Center 1600 Hospital Avenue, Franklin, LA 70538 2007-05-01
1508948852 Kira P Ridgley Physician Assistant 1105 Northwest Blvd., Franklin, LA 70538 2006-10-19
1871602581 John Neal Boudreaux Dentist 600 Haifleigh St, Franklin, LA 70538 2006-08-29
1891273850 Demetra Smith Case Manager/Care Coordinator 75 Main St, Franklin, LA 70538 2018-08-01
1497244891 Ashley Burkhart Counselor 75 Main St, Franklin, LA 70538 2018-05-02
1710474036 Fallon Hoskins-august Case Manager/Care Coordinator 75 Main St, Franklin, LA 70538 2018-04-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1558834226 Teresa Gail Triantafilu Nurse Practitioner 125 Cool Springs Blvd Ste 100, Franklin, TN 37067-6475 2019-01-06
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Competitor

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City FRANKLIN
Zip Code 70538

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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