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Individual

MR. JAMES SAMUEL LYTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 232-6677
(513) 733-8588
Mailing address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 232-6677
(513) 733-8588

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.002649RX
OH
363AS0400X
Surgical Physician Assistant
085001586
IL
363AS0400X
Surgical Physician Assistant
Primary
PA1733
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100226180
KY
Enumeration date
07/05/2006
Last updated
02/01/2017
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