| Vicki J Lyons, MD | |
|
4403 Harrison Blvd, Suite 4640, Ogden, UT 84403-3271 | |
| (801) 387-4850 | |
| (801) 387-4855 |
| Full Name | Vicki J Lyons |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 36 Years |
| Location | 4403 Harrison Blvd, Ogden, Utah |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326013574 | NPI | - | NPPES |
| P00069425 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 272784-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vicki J Lyons Md Pc | 4486558566 | 3 |
| Entity Name | Vicki J Lyons Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780716563 PECOS PAC ID: 4486558566 Enrollment ID: O20031120000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicki J Lyons, MD 4403 Harrison Blvd, Suite 4640, Ogden, UT 84403-3271 Ph: (801) 387-4850 | Vicki J Lyons, MD 4403 Harrison Blvd, Suite 4640, Ogden, UT 84403-3271 Ph: (801) 387-4850 |
Dr. Timothy John Sullivan Iii, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd., Ste 4640, Ogden, UT 84403 Phone: 801-387-4850 Fax: 801-387-4855 | |
Dr. Joseph Robert Anderson Jr., M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 5929 Fashion Point Dr, Suite 101, Ogden, UT 84403 Phone: 801-476-0052 Fax: 801-476-0064 | |
Dr. Charles Mitchell Rogers, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 4640, Ogden, UT 84403 Phone: 801-387-4850 |