Individual
VICTORIA LYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD. DEPARTMENT OF SURGERY, NAOB SUITE 6113, SACRAMENTO, CA 95817-2201
(916) 703-4459
(916) 703-4452
Mailing address
2315 STOCKTON BLVD. DEPARTMENT OF SURGERY, NAOB SUITE 6113, SACRAMENTO, CA 95817-2201
(916) 703-4459
(916) 703-4452
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A123485
CA
208600000X
Surgery Physician
MD188154
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD188154
OREGON MEDICAL LICENSE
OR
Enumeration date
04/12/2011
Last updated
08/28/2019
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