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NPI Code Detail

MEDICARE: TERRENCE LYTLE

MEDICARE: TERRENCE 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
1175T00000XPeer SpecialistMI

General Provider Information

NPI Number : 1487511028
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRENCE LYTLE
Provider Business Mailing Address
First Line : 140 MICHIGAN AVE W
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3602
Country : US
Telephone Number : 269-966-1460
Fax Number :
Provider Business Practice Location Address
First Line : 140 MICHIGAN AVE W
Second Line :
City : BATTLE CREEK
State : MI
Zip : 49017-3602
Country : US
Telephone Number : 269-966-1460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ TERRENCE LYTLE ” Practice Location

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