MS. ELSIE M LYTLE NPI 1447398045

NPI Information

NPI: 1447398045
Provider Name: MS. ELSIE M LYTLE
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
4606 S GARNETT RD
#302
TULSA, OK
ZIP 74146
Phone: (918) 664-6544
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MS. Elsie M Lytle is a specialist in Tulsa, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MS. Elsie M Lytle NPI is 1447398045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4606 S GARNETT RD
#302
TULSA, OK
ZIP 74146-231
Phone: (918) 664-6544
Fax: (918) 664-0668

The enumeration date for this NPI number is 2/3/2007 and was last updated on 6/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		NONE REQUIRED	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0259450001	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA
2	100810010-A	MEDICAID	OKLAHOMA
3	731385829	OTHER	OKLAHOMA	TRICARE
4	200302570A	OTHER	KANSAS	KANSAS MEDICAL ASSOC MCD
5	123441716	OTHER	ARKANSAS	ARK MEDICAID
6	0259450001	OTHER	OKLAHOMA	RR MEDICARE
7	323088005	OTHER	MISSOURI	MISSOURI MEDICAID
8	0259450001	MEDICARE OSCAR/CERTIFICATION	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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