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Contact Information

TATYANA LYTKINA, PA
CORNER OF ROUTE N12 AND N7
FORTDEFIANCE, AZ86504
 Phone: 928-729-8132
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for TATYANA LYTKINA · (Female)

NPI # 1255531042
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 07/20/2007
Last updated 11/10/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA9101950
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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