Provider Demographics
NPI:1760869838
Name:LYTHGOE, KRISTIN ERIKA (DO)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ERIKA
Last Name:LYTHGOE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 HIGH STREET D-6 DEPARTMENT OF EMERGENCY MEDICINE,
Mailing Address - Street 2:BUFFALO GENERAL MEDICAL CENTER,
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203
Mailing Address - Country:US
Mailing Address - Phone:716-859-1993
Mailing Address - Fax:716-859-1555
Practice Address - Street 1:100 HIGH STREET D-6 DEPARTMENT OF EMERGENCY MEDICINE,
Practice Address - Street 2:BUFFALO GENERAL MEDICAL CENTER,
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-859-1993
Practice Address - Fax:716-859-1555
Is Sole Proprietor?:No
Enumeration Date:2015-04-28
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program