Ian Lytle MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301088089 Issued in MI

Legal business name

IAN LYTLE MD PC

Practice address

18181 Oakwood Blvd
Suite 200
Dearborn, MI 48124-5032

Phone

(313) 399-9775

NPI assigned

Aug 7, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ian Frazier Lytle, MD

Title

Physician/Owner

Phone

(313) 399-9775

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1174909592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-399-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN LYTLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "LYTLE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "FRAZIER",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "313-399-9775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301088089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Frances Hypio
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• Hyun S Chang M D P C
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• I.M.a.G.E. Counseling Services
• Ahmad Ibrahim, DMD
• Amenah A Ibrahim
• Ghadir Ibrahim
• Jana Ibrahim
• Joana Ibrahim

• Plastic Surgery Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.