Individual
MAXWELL LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 W 16TH ST STE 8E, GREELEY, CO 80634-6862
(970) 352-5448
Mailing address
3242 GUNNISON DR, FORT COLLINS, CO 80526-2761
(816) 517-8380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204777
CO
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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