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Individual

DR. DANA LYNN GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
525 W 3RD ST, LEADVILLE, CO 80461-3811
(970) 692-4448
Mailing address
525 W 3RD ST, LEADVILLE, CO 80461-3811
(970) 692-4448

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39812
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
94382727
CO
Enumeration date
02/22/2006
Last updated
06/12/2013
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