Mrs Lyndera Vickland, LMT is a
Pain Medicine - Pain Medicine based in Virginia Beach, Virginia. Mrs Lyndera Vickland is licensed to practice in Virginia (license number 0019016556) and her current practice location is
1248 Gunn Hall Dr Ste 102, Virginia Beach, Virginia. She can be reached at her office (for appointments etc.) via phone at
(757) 637-0189.
NPI number for Mrs Lyndera Vickland is 1174188478 and her current mailing address is 4021 Foxwood Dr, Virginia Beach, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174188478.
Healthcare Provider's Profile
Full Name | Mrs Lyndera Vickland |
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Gender | Female |
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Speciality | Pain Medicine - Pain Medicine |
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Location | 1248 Gunn Hall Dr Ste 102, Virginia Beach, Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174188478
- Provider Enumeration Date: 05/02/2019
- Last Update Date: 05/25/2021
Medical Identifiers
Medical identifiers for Mrs Lyndera Vickland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174188478 | NPI | - | NPPES |
0019016556 | Other | VA | VA BOARD OF NURSING DEPARTMENT OF HEALTH PROFESSIONS |
11741888478 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 0019016556 (Virginia) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 0019016556 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lyndera Vickland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lyndera Vickland, LMT 4021 Foxwood Dr, Virginia Beach, VA 23462-5210 Ph: (757) 267-5877 | Mrs Lyndera Vickland, LMT 1248 Gunn Hall Dr Ste 102, Virginia Beach, VA 23454-5757 Ph: (757) 637-0189 |
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