Individual
PATRICK J. LYTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1010 CEREAL AVE, SUITE 207, HAMILTON, OH 45013-2784
(513) 867-3331
(513) 867-2667
Mailing address
1010 CEREAL AVE, SUITE 207, HAMILTON, OH 45013-2784
(513) 867-3331
(513) 867-2667
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34006170
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009398
ANTHEM
OH
05
—
0144632
—
OH
Enumeration date
07/15/2005
Last updated
08/29/2023
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