Individual
ROBERT A LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 MAIN ST, HYANNIS, MA 02601-3109
(508) 771-6447
(508) 775-5104
Mailing address
51 MAIN ST, HYANNIS, MA 02601-3109
(508) 771-6447
(508) 775-5104
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
54395
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3016455
—
MA
01
—
711397
TUFTS
—
05
—
9728112
—
MA
01
—
J04532
BC/BS IND #
—
01
—
M14824
BC/BS GRP #
—
Enumeration date
09/23/2005
Last updated
05/15/2012
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