Individual
LYDIA SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
850 WEST BEAVER CREEK BLVD, AVON, CO 81620-9201
(970) 945-2840
(970) 945-2893
Mailing address
325 PRICE LN # X1255, GYPSUM, CO 81637-5328
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0997076-NP
CO
Other
Enumeration date
12/01/2021
Last updated
10/11/2023
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