Provider Demographics
NPI:1124866504
Name:SLATON, LYRIN (PA)
Entity type:Individual
Prefix:
First Name:LYRIN
Middle Name:
Last Name:SLATON
Suffix:
Gender:F
Credentials:PA
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4680 S WRIGHT WAY
Mailing Address - Street 2:
Mailing Address - City:MORRISON
Mailing Address - State:CO
Mailing Address - Zip Code:80465-1774
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10280 W 55TH AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-4925
Practice Address - Country:US
Practice Address - Phone:720-557-9086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant