Individual
ERIC LUSSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
710 MAIN ST BLDG 4, PLANTSVILLE, CT 06479-1567
(860) 378-2891
(860) 378-2894
Mailing address
710 MAIN ST BLDG 4, PLANTSVILLE, CT 06479-1567
(860) 378-2891
(860) 378-2894
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002975
CT
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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