Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN JOSEPH LYSACK, PA
ActiveGLENN JOSEPH LYSACK, PA is a Physician Assistant healthcare provider located in PENSACOLA, Florida. NPI 1578501094 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PENSACOLA, FL
Registration Details
- NPI Number
- 1578501094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 4, 2006 (20.173835552172 yrs)
- Last Updated
- Jan 16, 2018
- License
-
PA3242 (FL)
Practice Information
- Address
-
5151 N 9TH AVEPENSACOLA, FL, 325048721Browse FL providers · Browse ZIP 32504
- Phone
- 8504167000
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PENSACOLA, FL
| Name | Credential | NPI |
|---|---|---|
| MICHAEL BERTAGNOLLI | PA-C | 1427051010 |
| DOUGLAS SCOTT BAKER | PAC | 1194725457 |
| RICHARD O CLARK | PAC | 1932109105 |
| REBECCA COWER | PAC | 1386644607 |
| WILLIAM ANDREW WATSON | PAC | 1033119227 |
| MR. JAMES PATRICK ADAIR II | PA-C | 1265425243 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.