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NPI Code Detail

MEDICARE: DEANNA LYTTLE M.D

MEDICARE:   DEANNA  LYTTLE  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist
2207W00000XOphthalmology Physician39982SC

General Provider Information

NPI Number : 1386890242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA LYTTLE M.D
Provider Business Mailing Address
First Line : 367 W EVANS ST
Second Line :
City : FLORENCE
State : SC
Zip : 29501-3429
Country : US
Telephone Number : 843-669-4156
Fax Number : 843-664-0962
Provider Business Practice Location Address
First Line : 367 W EVANS ST
Second Line :
City : FLORENCE
State : SC
Zip : 29501-3429
Country : US
Telephone Number : 843-669-4156
Fax Number : 843-664-0962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 02/14/2024

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Directions to “ DEANNA LYTTLE M.D” Practice Location

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