Individual
DR. JOHN ORA LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1609 W 40TH AVE, STE 501, PINE BLUFF, AR 71603-6329
(870) 534-3449
(870) 541-4297
Mailing address
1609 W 40TH AVE, STE 501, PINE BLUFF, AR 71603-6329
(870) 534-3449
(870) 541-4297
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C6150
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114742001
—
AR
Enumeration date
09/12/2005
Last updated
03/29/2016
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