Provider Demographics
NPI:1609853845
Name:LYONS, DAVID T (MD)
Entity type:Individual
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First Name:DAVID
Middle Name:T
Last Name:LYONS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:193 LOCUST ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2066
Mailing Address - Country:US
Mailing Address - Phone:413-584-8700
Mailing Address - Fax:413-584-1714
Practice Address - Street 1:193 LOCUST ST
Practice Address - Street 2:SUITE 2
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2066
Practice Address - Country:US
Practice Address - Phone:413-584-8700
Practice Address - Fax:413-584-1714
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2009-12-16
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Provider Licenses
StateLicense IDTaxonomies
MA52305208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000008093OtherBMC
MA04-2817581OtherPLAN VISTA
MA04-2817581OtherPRIVATE HEALTHCARE SYSTEM
MA201412OtherHARVARD PILGRIM
MA787581OtherCONNECTICARE
MA04-2817581OtherNORTHEAST HEALTHCARE ALLI
MA04-2817581OtherPIONEER
MA14049OtherHEALTH NEW ENGLAND
MA04-2817581OtherCONSOLIDATED
MA2576054OtherAETNA
MA04-2817581OtherNORTH AMERICAN PREFERRED
MA102242601OtherCIGNA
MA6183859Medicaid
MA04-2817581OtherGREAT-WEST
MA04-2817581OtherNORTHEAST HEALTH DIRECT
MA052305OtherTUFTS
MAJ04053OtherBCBSMA
MA787581OtherCONNECTICARE