Healthcare Provider Details
I. General information
NPI: 1780451401
Provider Name (Legal Business Name): LYONS HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2023
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
418 HIGH ST
LYONS CO
80540
US
IV. Provider business mailing address
102 NOLAND CT
LYONS CO
80540-3802
US
V. Phone/Fax
- Phone: 303-498-5941
- Fax:
- Phone: 303-506-4247
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEGAN
FOREMAN
Title or Position: OWNER
Credential: FNP-BC
Phone: 303-498-5941