Individual
DR. GEORGE MAMALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
255 UNION BLVD STE 310, LAKEWOOD, CO 80228-1863
(303) 985-0004
(303) 985-0037
Mailing address
255 UNION BLVD STE 310, LAKEWOOD, CO 80228-1863
(303) 985-0004
(303) 985-0037
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1316
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316
STATE LICENSE NO
CO
Enumeration date
03/09/2006
Last updated
07/09/2020
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