Provider Demographics
NPI:1255664108
Name:LYONS, DEE ANN (FNP)
Entity type:Individual
Prefix:MS
First Name:DEE
Middle Name:ANN
Last Name:LYONS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:LAMAR
Mailing Address - State:CO
Mailing Address - Zip Code:81052-0328
Mailing Address - Country:US
Mailing Address - Phone:719-336-3244
Mailing Address - Fax:719-336-3898
Practice Address - Street 1:1111 S 4TH ST
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:CO
Practice Address - Zip Code:81052-3804
Practice Address - Country:US
Practice Address - Phone:719-336-3324
Practice Address - Fax:719-336-3898
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0005982-NP363LP0808X
CONP5982363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO00727083Medicaid
CO00727083Medicaid