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Individual

DR. MARILYN S LYONS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD, MMS

Contact information

Practice address
77 GILCREAST ROAD, #2000, LONDONDERRY, NH 03053
(603) 425-2307
(603) 437-8190
Mailing address
77 GILCREAST ROAD, #2000, LONDONDERRY, NH 03053
(603) 425-2307
(603) 437-8190

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
13970
MA
1223E0200X
Endodontics
Primary
1844
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X12134
BC/BS OF MA PROVIDER #
NH
01
X12135
BC/BS OF MA PROVIDER #
MA
Enumeration date
06/13/2006
Last updated
04/27/2015
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