GLENN LYTLE MD
NPI 1194702167
Family Medicine in Broken Arrow, OK

Active since December 29, 2005
3801 W UTICA ST, BROKEN ARROW, OK 74011(918) 286-1920(918) 286-1920 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn Lytle Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN LYTLE MD (NPI 1194702167) is an individual family medicine provider in Broken Arrow, Oklahoma, licensed in Oklahoma (16019) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1194702167
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGLENN LYTLECredential: MD
Location Address3801 W UTICA STBroken Arrow, OK 74011-1365
Mailing Address3801 W Utica StBroken Arrow, OK 74011-1365 · (918) 286-1920 · Fax (918) 286-1920
Fax(918) 286-1920
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateOctober 9, 2014
NPI 1194702167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 16019
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3801 W UTICA ST, Broken Arrow, OK 74011

Other Identifiers 1

Medicare UPINC29180OK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Lytle's NPI number?

The NPI number for Glenn Lytle is 1194702167. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Glenn Lytle located?

Glenn Lytle practices at 3801 W Utica St, Broken Arrow, OK 74011. The listed phone number is (918) 286-1920.

What is Glenn Lytle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glenn Lytle was last updated on October 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.