Provider Demographics
NPI:1841269115
Name:GLAZER, LIMOR (DPM)
Entity type:Individual
Prefix:DR
First Name:LIMOR
Middle Name:
Last Name:GLAZER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7016 LEE PARK RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-3682
Mailing Address - Country:US
Mailing Address - Phone:804-746-5488
Mailing Address - Fax:804-730-1223
Practice Address - Street 1:7016 LEE PARK RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3682
Practice Address - Country:US
Practice Address - Phone:804-746-5488
Practice Address - Fax:804-730-1223
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0103000846213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9330712Medicaid
VA9330712Medicaid