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Individual

DR. LYNN F GREENLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1145 OHIO AVE, CANON CITY, CO 81212-2278
(719) 275-7481
(719) 275-0059
Mailing address
27 MONTEBELLO RD, PUEBLO, CO 81001-1236
(719) 545-1530
(719) 545-2899

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17215
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01172154
CO
01
0452890001
MEDICARE DMERC
CO
01
182042704
RAILROAD MEDICARE
CO
01
608439600
US DEP LABOR WORK COM
CO
01
841207157
UNITED HEALTHCARE
CO
01
920726020820
EYE SPECIALISTS
CO
01
CO7215
EYE MED EYECARE
CO
01
K2038
ANTHEM
CO
Enumeration date
05/12/2006
Last updated
07/08/2007
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