Individual
RICHARD C LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
389 E ALLEN ST, WINOOSKI, VT 05404-1560
(802) 655-1314
(802) 655-2895
Mailing address
389 E ALLEN ST, WINOOSKI, VT 05404-1560
(802) 655-1314
(802) 655-2895
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
042-0005615
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004622
—
VT
01
—
041092506
TRICARE
—
01
—
04V006
MVP
—
01
—
5293001
VERMONT MANAGED CARE
VT
01
—
VT4622
VT BCBS
VT
Enumeration date
06/30/2005
Last updated
10/15/2013
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