Individual
DR. FRANCISCA V. LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 E. NIZHONI BLVD., GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1256
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD014104
TN
207X00000X
Orthopaedic Surgery Physician
Primary
10533
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14185
—
ND
01
—
3113607
BLUE CROSS BLUE SHIELD
TN
Enumeration date
06/23/2005
Last updated
08/06/2012
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