person
Ms. Elsie M Lytle
Specialist in Tulsa, Oklahoma
NPI 1447398045

Elsie M Lytle is a Specialist based in Tulsa, OK. Elsie M Lytle practices in Tulsa, OK. The NPI Number for Elsie M Lytle is 1447398045 and holds a License No. NONE REQUIRED (Oklahoma).

The current practice location address for Elsie M Lytle is 4606 S Garnett Rd, Tulsa, OK and can be reached out via phone at 918-664-6544 and via fax at 918-664-0668. You can also correspond with Elsie M Lytle through the mailing address at 4606 S GARNETT RD, TULSA, OK - 74146-5231 (mailing address contact number: 918-664-6544).

Location: 4606 S Garnett Rd, Tulsa, OK, 74146-5231
person
Provider Profile Details
NPI Number
1447398045
Provider Name
Elsie M Lytle
Credential
Provider Entity Type
Individual
Gender
Female
Address
4606 S Garnett Rd, Tulsa, OK, 74146-5231
Phone Number
918-664-6544
Fax Number
918-664-0668
Provider Enumeration Date
02/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100810010-A 05 OK
200302570A 01 KS KANSAS MEDICAL ASSOC MCD
123441716 01 AR ARK MEDICAID
731385829 01 OK TRICARE
0259450001 01 OK RR MEDICARE
323088005 01 MO MISSOURI MEDICAID
institution
Provider Business Practice Location Address Details
Address
4606 S Garnett Rd
City
State
Zip
74146-5231
Phone Number
918-664-6544
Fax Number
918-664-0668
person
Provider Business Mailing Address Details
Address
4606 S Garnett Rd
City
State
Zip
74146-5231
Phone Number
918-664-6544
Fax Number
918-664-0668
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
NONE REQUIRED (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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