Organization
LYKOS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN N WOGEN (REGIONAL DIRECTOR)
(719) 434-8810
Entity
Organization
Contact information
Practice address
595 CHAPEL HILLS DR STE 303A, COLORADO SPRINGS, CO 80920-1022
(719) 434-8810
(833) 903-3601
Mailing address
595 CHAPEL HILLS DR STE 303A, COLORADO SPRINGS, CO 80920-1022
(719) 434-8810
(833) 903-3601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000163679
—
CO
Enumeration date
07/03/2018
Last updated
12/01/2025
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