Individual
DR. ANNE LYON LEAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
EACH 1650 COCHRANE CR, FT CARSON, CO 80913
(719) 526-7155
(719) 526-7852
Mailing address
27 BROADMOOR AVE, COLORADO SPRINGS, CO 80906-3613
(719) 527-0751
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34870
CO
2084P0800X
Psychiatry Physician
A61440
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01348705
—
CO
Enumeration date
04/07/2006
Last updated
07/08/2007
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