person
Jacob Lythgoe
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1164041620

Jacob Lythgoe is a Student in an Organized Health Care Education/Training Program based in Phoenix, AZ. Jacob Lythgoe practices in Phoenix, AZ. The NPI Number for Jacob Lythgoe is 1164041620 and holds a License No. (Arizona).

The current practice location address for Jacob Lythgoe is 2601 E Roosevelt St, Phoenix, AZ and can be reached out via phone at 602-687-9031.

Location: 2601 E Roosevelt St, Phoenix, AZ, 85012-2071
person
Provider Profile Details
NPI Number
1164041620
Provider Name
Jacob Lythgoe
Credential
Provider Entity Type
Individual
Gender
Male
Address
2601 E Roosevelt St, Phoenix, AZ, 85012-2071
Phone Number
602-687-9031
Fax Number
Provider Enumeration Date
04/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2601 E Roosevelt St
City
State
Zip
85008-4973
Phone Number
602-687-9031
Fax Number
person
Provider Business Mailing Address Details
Address
2601 E Roosevelt St
City
State
Zip
85008-4973
Phone Number
602-687-9031
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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