Provider Demographics
NPI:1326774514
Name:LYTWAK, VICTORIA ANASTASIA (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:ANASTASIA
Last Name:LYTWAK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:4543 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3062
Mailing Address - Country:US
Mailing Address - Phone:412-443-5674
Mailing Address - Fax:
Practice Address - Street 1:3601 5TH AVE FL 6
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3403
Practice Address - Country:US
Practice Address - Phone:412-647-0539
Practice Address - Fax:412-864-2663
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2024-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA063764363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical