Lytle, Nicole Alicia

Lytle, Nicole Alicia is an sole proprietor health care provider with primary practice located at 1199 Prince Ave , Athens GA 30606-2797. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lytle, Nicole Alicia can be contacted via phone (478) 464-8134.

Contact Information

Primary practice address
1199 Prince Ave Athens GA 30606-2797
Phone: (478) 464-8134
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 3771 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3771 Georgia

Profile Details

NPI number 1174654651
LBN Legal business name Lytle, Nicole Alicia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated May 7th, 2024 - about 7 months 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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