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General NPI Number Information
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NPI Number | 1770652885
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Entity Type | Individual
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Provider Name | CAMILLA L LYONS MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 45 E PUTNAM AVE STE 116
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City | GREENWICH
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State | CT
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Zip | 06830-5428
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Country | US
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Telephone | 203-202-2551
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Fax | 888-263-6750
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Provider Business Mailing Address
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Address Line | 45 E PUTNAM AVE STE 116
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City | GREENWICH
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State | CT
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Zip | 06830-5428
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Country | US
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Telephone | 203-202-2551
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Fax | 888-263-6750
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 55627
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | 243521
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 243521
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 55627
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License Number State | CT
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 243521
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 55627
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License Number State | CT
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