Individual
DR. THOMAS JOSEPH LYDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH-HITCHCOCK CLINIC, LEBANON, NH 03756
(603) 650-7254
Mailing address
315 BROOK HOLW, HANOVER, NH 03755-2808
(603) 643-1832
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12705
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011608
—
VT
05
—
30205179
—
NH
01
—
AA107307
HARVARD PILGRIM NH
NH
01
—
P00471249
RAILROAD MEDICARE
NH
Enumeration date
07/20/2006
Last updated
05/29/2008
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