Individual
MR. LYLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMA
Contact information
Practice address
1733 VINE ST, DENVER, CO 80206-1119
(303) 504-1000
(303) 394-9820
Mailing address
1430 HUMBOLDT ST, # 402, DENVER, CO 80218-2373
(303) 832-1128
(303) 832-1128
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
497707
KS
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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