Individual
MRS. LISA M LYTLE
Active
Individual
MRS. LISA M LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004994
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490545
ANTHEM BLUE CROSS AND BLUE SHIELD
OH
01
—
532615
HEALTH ASSURANCE
OH
Enumeration date
08/11/2006
Last updated
07/31/2024
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