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Individual

LYNN R DILLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1224 EDISON ST, STE A, BRUSH, CO 80723-2436
(970) 842-5010
(970) 842-4120
Mailing address
1224 EDISON ST, STE A, BRUSH, CO 80723-2436
(970) 842-5010
(970) 842-4120

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27929
CO
207Q00000X
Family Medicine Physician
Primary
27929
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01279298
CO
Enumeration date
03/08/2006
Last updated
06/22/2010
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