Individual
STACEY AMANDA LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4140 W MEMORIAL RD, SUITE 215, OKLAHOMA CITY, OK 73120-8366
(405) 242-4030
(405) 242-4031
Mailing address
4140 W MEMORIAL RD, SUITE 215, OKLAHOMA CITY, OK 73120-8366
(405) 242-4030
(405) 242-4031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
102245
OK
Other
Enumeration date
09/10/2016
Last updated
10/06/2016
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