GLENN JOSEPH LYSACK

BREMERTON, WA
NPI1578501094
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA3242)
Enumeration Date2006-06-04
Last Update Date2026-08-14
Business Address
GLENN JOSEPH LYSACK PA
1400 FARRAGUT AVE BLDG 940
BREMERTON, WA 98314-6001
Phone number: 360-476-6872
Mailing Address
GLENN JOSEPH LYSACK PA
1400 FARRAGUT AVE BLDG 940
BREMERTON, WA 98314-6001
Phone number: 360-476-6872
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