Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glenn Joseph Lysack, PA

Individual provider Physician Assistant · NPI 1578501094

Glenn Joseph Lysack, PA is a Physician Assistant in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5151 N 9th Ave
Pensacola, FL 32504-8721
Phone: (850) 416-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3242 (FL)

Record details

NPI number1578501094
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESJanuary 16, 2018

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