Individual
LISA ANN LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
5416 HILLBROOK DR, CROSS LANES, WV 25313-1677
(304) 206-1635
Mailing address
5416 HILLBROOK DR, CROSS LANES, WV 25313-1677
(304) 206-1635
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
107741
WV
Other
Enumeration date
08/20/2021
Last updated
09/10/2021
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