Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fort Lyon Correctional Facility

Organization Clinic/Center · NPI 1629132121

Fort Lyon Correctional Facility is a Clinic/Center in Fort Lyon, Colorado. Registered with an NPI since 2006.

In the registry since
2006
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Practice location Address checks out

30999 County Rd 15
Fort Lyon, CO 81038
Phone: (719) 456-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1629132121
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Lastrella — Physician · (719) 456-3222
NPI enumeratedDecember 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2862 S Circle Dr, Colorado Springs, CO 80906-4101