Individual
ELIZABETH LYDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 NORTH 8TH ST., HOLLY, CO 81047
(719) 537-6555
Mailing address
320 NORTH 8TH ST., HOLLY, CO 81047
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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