Provider Demographics
NPI:1124375480
Name:NORTON, ELIZABETH LYTLE (RPH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LYTLE
Last Name:NORTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 FORKS OF THE RIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3418
Mailing Address - Country:US
Mailing Address - Phone:865-453-7121
Mailing Address - Fax:865-428-1804
Practice Address - Street 1:40 W MAIN ST.
Practice Address - Street 2:
Practice Address - City:OLD FORT
Practice Address - State:NC
Practice Address - Zip Code:28762-2876
Practice Address - Country:US
Practice Address - Phone:828-237-0149
Practice Address - Fax:828-237-0204
Is Sole Proprietor?:No
Enumeration Date:2012-08-06
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36373183500000X
NC07146183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1952849317Medicaid