# DR. MARY BETH LANSING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528059573
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 36103 | CO | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | 36103 | CO | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 04/29/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01361039 | — | CO |
| 01 | — | C51901 | MEDICARE ID | CO |
| 01 | — | C811156 | MEDICARE PTAN | CO |