Individual
JUSTIN COLE LYTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMPNA CRNA
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.019906
OH
Other
Enumeration date
04/29/2019
Last updated
09/11/2025
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