GLENN LYTLE, MD
Family Medicine
Active
Individual
NPI: 1194702167
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 16019 (OK) |
Frequently Asked Questions
NPI 1194702167 is the National Provider Identifier for GLENN LYTLE, MD, a Family Medicine provider located in Broken Arrow, OK. This NPI was enumerated on December 29, 2005.
GLENN LYTLE, MD practices at 3801 W UTICA ST, Broken Arrow, OK 74011.
Quick Facts
- NPI
- 1194702167
- Type
- Individual
- Enumerated
- Dec 29, 2005
- Last Updated
- Oct 9, 2014
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