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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