Individual
GERALD J LYONS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 SWIFTWATER ROAD, COTTAGE HOSPITAL, WOODSVILLE, NH 03785-2001
(603) 747-9000
(603) 747-0401
Mailing address
90 SWIFTWATER ROAD, COTTAGE HOSPITAL, WOODSVILLE, NH 03785-2001
(603) 747-9000
(603) 747-0401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5745
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004185
—
VT
01
—
0104185Y0NH03
PROVIDER ID
NH
01
—
77P010
PROVIDER ID
VT
05
—
82114185
—
NH
01
—
COTT03993703
PROVIDER ID
VT
Enumeration date
09/06/2006
Last updated
07/09/2007
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