IndividualActive
Glen Lussier, MD
NPI 1871380873 · Military Health Care Provider · Portsmouth, VA
Provider details
- NPI number
- 1871380873
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (757) 953-5000
Approximate (ZIP-level) locationGet directions
Mailing address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Registry dates
- Enumerated
- 2025-04-22
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.