Organization
VICKI J LYONS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI J LYONS M.D. (OWNER)
(801) 387-4850
Entity
Organization
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
—
DA3586
RAILROAD MEDICARE
UT
Enumeration date
03/09/2007
Last updated
10/16/2015
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