Healthcare Provider Details

I. General information

NPI: 1003897240
Provider Name (Legal Business Name): MARGARET STEANE LYTTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 10/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 N NARBERTH AVE
NARBERTH PA
19072-1923
US

IV. Provider business mailing address

638 SUSSEX RD
WYNNEWOOD PA
19096-2205
US

V. Phone/Fax

Practice location:
  • Phone: 610-667-0650
  • Fax: 610-667-1481
Mailing address:
  • Phone: 610-642-9167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD049994L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: