Individual
DR. GRACE ELIZABETH LYTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
940 COMMONWEALTH AVE, SUITE 2A, BOSTON, MA 02215-1203
(617) 417-2160
Mailing address
940 COMMONWEALTH AVE, SUITE 2A, BOSTON, MA 02215-1203
(617) 417-2160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4698
MA
152WC0802X
Corneal and Contact Management Optometrist
Primary
4698
MA
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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