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Individual
MR. JAMES SAMUEL LYTLE
Active
Individual
MR. JAMES SAMUEL LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002649RX
OH
363AS0400X
Surgical Physician Assistant
085001586
IL
363AS0400X
Surgical Physician Assistant
Primary
PA1733
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100226180
—
KY
Enumeration date
07/05/2006
Last updated
02/01/2017
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