MEDICARE: DR. JULIANN C LYONS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6489	CO

General Provider Information

NPI Number	:	1528135621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANN C LYONS DDS

Provider Business Mailing Address
First Line	:	6825 E HAMPDEN AVE
Second Line	:	#200
City	:	DENVER
State	:	CO
Zip	:	80224-3029
Country	:	US
Telephone Number	:	303-756-6862
Fax Number	:

Provider Business Practice Location Address
First Line	:	6825 E HAMPDEN AVE
Second Line	:	#200
City	:	DENVER
State	:	CO
Zip	:	80224-3029
Country	:	US
Telephone Number	:	303-756-6862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	07/11/2017

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