| Robert G. Lussier, M.d., Llc | |
|
36 Welles St Suite 230 Glastonbury CT 06033-2080 | |
| (860) 652-0472 | |
| (860) 652-3431 |
| Full Name | Robert G. Lussier, M.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 36 Welles St, Glastonbury, Connecticut |
| Authorized Official Name and Position | Robert George Lussier (OWNER) |
| Authorized Official Contact | 8606520472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert G. Lussier, M.d., Llc 36 Welles St Suite 230 Glastonbury CT 06033-2080 Ph: (860) 652-0472 | Robert G. Lussier, M.d., Llc 36 Welles St Suite 230 Glastonbury CT 06033-2080 Ph: (860) 652-0472 |
| NPI Number | 1154509347 |
|---|---|
| Provider Enumeration Date | 02/10/2008 |
| Last Update Date | 02/10/2008 |
| Medicare PECOS PAC ID | 6103836911 |
|---|---|
| Medicare Enrollment ID | O20060424000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154509347 | NPI | - | NPPES |
| C03503 | Other | CT | MEICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 026123 (Connecticut) | Primary |
| Provider Name | Robert G Lussier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497783518 PECOS PAC ID: 2466462270 Enrollment ID: I20060426000010 |
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