Glenn Lytle, MD

NPI #1194702167 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1194702167
Entity Type: Individual
Name: Glenn Lytle, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 29, 2005
Last Updated: Oct 9, 2014

Practice Location

Address: 3801 W UTICA ST
City: Broken Arrow
State: Oklahoma
ZIP Code: 74011-1365
Phone: (918) 286-1920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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