Male or Other

Edd G. Lyon MD

Family Medicine Physician in Bennington, VT(View on Map)

Full Name

Edd Gilbert Lyon MD

NPI Number

1184673113

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/08/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Vermont

License Number

42-6255

Contact
Information

Purpose

Mailing
Location

Address

1068 VAIL RD
1068 VAIL RD

City

Bennington
Bennington

State

VT
VT

Postal Code

05201-9599
05201-9599

Country

US
US

Telephone Number

N/A
(802) 447-0051

Identifiers

Identifier

0002387

Identifier State

VT

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/15/2016

Provider Address

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