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Individual
MISTY DAWN LYTLE
Active
Individual
MISTY DAWN LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
670751
TX
363LF0000X
Family Nurse Practitioner
Primary
AP121315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3530701-01
—
TX
Enumeration date
06/26/2012
Last updated
04/19/2016
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