Alexis Mahon
Individual provider Active NPI Acupuncturist · Lyons, CO
NPI 1972047280 · NPPES record last updated Dec 6, 2016
Key facts
- NPI
- 1972047280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 164077 (CO)
- Practice address
- 19617 N Saint Vrain Dr
Lyons, CO 80540-9021 - Phone
- (860) 306-3527
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164077 | CO | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 164077 | CO | Yes |
Addresses
Primary practice location
19617 N Saint Vrain Dr
Lyons, CO 80540-9021
Mailing address
19617 N Saint Vrain Dr
Lyons, CO 80540-9021
Other providers in Lyons, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.