Jacob Lythgoe is a student in an organized health care education training program in Phoenix, AZ. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jacob Lythgoe NPI is 1164041620. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2601 E ROOSEVELT ST
PHOENIX, AZ
ZIP 85008-973
Phone: (602) 687-9031
The NPI 1164041620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/14/2020 and was last updated on 4/14/2020.