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NPI Code Detail

MEDICARE: DOROTHY M LYTLE

MEDICARE:   DOROTHY M LYTLE
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
13747P1801XPersonal Care Attendant
2372600000XAdult CompanionNE

General Provider Information

NPI Number : 1972308377
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY M LYTLE
Provider Business Mailing Address
First Line : 7044 N 65TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68152-2108
Country : US
Telephone Number : 402-906-2537
Fax Number :
Provider Business Practice Location Address
First Line : 5155 S 124TH AVE
Second Line :
City : OMAHA
State : NE
Zip : 68137-2128
Country : US
Telephone Number : 402-706-1913
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2025
Last Update Date : 08/01/2025

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Directions to “ DOROTHY M LYTLE ” Practice Location

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