Organization
ROBERT G. LUSSIER, M.D., LLC
Active
Organization
ROBERT G. LUSSIER, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GEORGE LUSSIER M.D. (OWNER)
(860) 652-0472
Entity
Organization
Contact information
Practice address
36 WELLES ST, SUITE 230, GLASTONBURY, CT 06033-2080
(860) 652-0472
(860) 652-3431
Mailing address
36 WELLES ST, SUITE 230, GLASTONBURY, CT 06033-2080
(860) 652-0472
(860) 652-3431
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
026123
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03503
MEICARE GROUP NUMBER
CT
Enumeration date
02/10/2008
Last updated
02/10/2008
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