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Individual

DR. JOHN MARK LYTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6729 DEERFOOT PKWY, PINSON, AL 35126-3093
(205) 681-5377
(205) 681-6276
Mailing address
6729 DEERFOOT PKWY, PINSON, AL 35126-3093
(205) 681-5377
(205) 681-6276

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18276
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000026568
AL
01
1661050
UNITED HEALTHCARE
AL
01
51026568
BC/BS
AL
01
51506245
BC/BS
AL
01
7892304
CIGNA
AL
Enumeration date
07/12/2006
Last updated
07/08/2007
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