Individual
VICKI J LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4403 HARRISON BLVD, SUITE 4640, OGDEN, UT 84403-3271
(801) 387-4850
(801) 387-4855
Mailing address
4403 HARRISON BLVD, SUITE 4640, OGDEN, UT 84403-3271
(801) 387-4850
(801) 387-4855
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
272784-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00069425
RAILROAD MEDICARE
UT
Enumeration date
02/21/2006
Last updated
11/11/2014
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