Mark Edward Lytle M.D.

NPI 1053504308 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1053504308
Gender Male
Enumeration Date 08/21/2007
Last Updated 08/21/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
301 FISHER ST
ROOM 2A-228
KEESLER AFB MS, 39534-2508, US
Phone (228) 376-5571
Fax (228) 376-0083
Business Location
301 FISHER ST
ROOM 2A-228
KEESLER AFB MS, 39534-2508, US
Phone (228) 376-5571
Fax (228) 376-0083
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Mark Edward Lytle M.D. NPI is 1053504308, taxonomy code is 390200000X Mark Edward Lytle M.D. physically located at 301 Fisher St, Keesler Afb MS, 39534-2508. NPI Number Mark Edward Lytle M.D. has the Individual type.

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1053504308 NPI number is provided on an as is basis without warranty of any kind. 1053504308 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Edward Lytle M.D. are for informational purposes only.