Individual
TIMOTHY LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 SALEM AVE, DAYTON, OH 45406-5144
(937) 586-8462
Mailing address
1100 SALEM AVE, DAYTON, OH 45406-5144
(937) 586-8462
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
TJ114743
OH
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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