Individual
DR. TIMOTHY R. LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 ELLIOT WAY STE 200, MANCHESTER, NH 03103-3502
(603) 663-2315
Mailing address
PO BOX 509, PLYMOUTH, NH 03264-0509
(603) 236-1568
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9814
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106266Y0NH02
ANTHEM
NH
05
—
1013775
—
VT
05
—
30204120
—
NH
05
—
3072706
—
NH
01
—
8057117
CIGNA
NH
01
—
AA34767
HARVARD PILGRIM
NH
Enumeration date
07/18/2006
Last updated
08/23/2020
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