Individual
JOHN MARVIN LYTLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 WESTLAND DR SW, CLEVELAND, TN 37311-8163
(423) 478-1970
Mailing address
5346 COLLEGEVIEW DR, OOLTEWAH, TN 37363-8734
(772) 349-1084
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30618
TN
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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