Lytle, Glenn

Lytle, Glenn is an individual health care provider with primary practice located at 3801 W Utica St , Broken Arrow OK 74011-1365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lytle, Glenn can be contacted via phone (918) 286-1920.

Contact Information

Primary practice address
3801 W Utica St Broken Arrow OK 74011-1365
Fax: (918) 286-1920
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16019 Oklahoma

Profile Details

NPI number 1194702167
LBN Legal business name Lytle, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 9th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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