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Individual

ELIZABETH LYON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3630 AUSTIN BLUFFS PKWY STE 120, COLORADO SPRINGS, CO 80918-6663
(719) 304-5400
(719) 304-5409
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003123
CO
152WV0400X
Vision Therapy Optometrist
27OA00655000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72671815
CO
01
OPT.0003123
CO OPTOMETRY LICENSE
CO
Enumeration date
05/28/2015
Last updated
06/12/2019
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