GLENN JOSEPH LYSACK

PENSACOLA, FL
NPI1578501094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA3242)
Enumeration Date2006-06-04
Last Update Date2018-01-16
Business Address
GLENN JOSEPH LYSACK PA
5151 N 9TH AVE
PENSACOLA, FL 32504-8721
Phone number: 850-416-7000
Mailing Address
GLENN JOSEPH LYSACK PA
PO BOX 2699
PENSACOLA, FL 32513-2699
Phone number: 850-416-7000
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