NPI 1033644430

Jacob Allen Lytle, DO

Practitioner Orthopaedic Surgery Physician Grand Rapids, MI

Practice location

Address: 2770 E Beltline Ave NE, Grand Rapids, MI 49525-8614
Phone: (616) 267-8860
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 5101025074 (MI)

Other Orthopaedic Surgery providers in Michigan →

Registry record

NPI: 1033644430
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Apr 2017
Record last updated: 5 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.