Search › Washington › 363A00000X
Glenn Lysack, PA
NPI 1578501094 · on the registry since 2006
Practice
- Address
- 1400 Farragut Ave Bldg 940
Bremerton, WA 98314 - Phone
- (360) 476-6872
- Fax
- (360) 476-6872
- Organisation at this address
- Branch Medical Clinic Puget Sound
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington