IndividualActive
Lyndera Vickland, LMT
NPI 1174188478 · Pain Medicine Physician · Virginia Beach, VA
Provider details
- NPI number
- 1174188478
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 0019016556 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1248 Gunn Hall Dr Ste 102
Virginia Beach, VA 23454-5757
Phone: (757) 637-0189
Approximate (ZIP-level) locationGet directions
Mailing address
4021 Foxwood Dr
Virginia Beach, VA 23462-5210
Additional practice locations (1)
- 5002 Jefferson AveNewport News, VA 23605-3204Phone: (757) 637-0189
Registry dates
- Enumerated
- 2019-05-02
- Last updated
- 2021-05-25
- Certified
- 2021-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.