Provider Demographics
NPI:1205356235
Name:LYONS, JOSEPHINE P (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:P
Last Name:LYONS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5420 S QUEBEC ST STE 106
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1902
Mailing Address - Country:US
Mailing Address - Phone:202-954-8647
Mailing Address - Fax:855-805-9391
Practice Address - Street 1:5420 S QUEBEC ST STE 106
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1902
Practice Address - Country:US
Practice Address - Phone:720-295-4864
Practice Address - Fax:855-805-9391
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI18162-875213E00000X
COPOD.0000862213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPOD.0000862OtherCO STATE LICENSE