Glass, Cynthia A

Glass, Cynthia A is an individual health care provider with primary practice located at 4630 Ambassador Caffery Pkwy Suite 308, Lafayette LA 70508-6949. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is her primary health care specialty. Glass, Cynthia A can be contacted via phone (337) 289-5277.

Contact Information

Primary practice address
4630 Ambassador Caffery Pkwy Suite 308 Lafayette LA 70508-6949
Phone: (337) 289-5277
Fax: (337) 289-5273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X LA1714519 Louisiana
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD.015672 Louisiana

Profile Details

NPI number 1114949302
LBN Legal business name Glass, Cynthia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 28th, 2017 - about 7 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 1114949302 NPPES
Louisiana MEDICAID 1452921
Louisiana MEDICAID 1343188

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