Tyler Lyckberg, - in Palo Alto, CA

Tyler Lyckberg, is a Student In An Organized Health Care Education/training Program based in Palo Alto, California. Tyler Lyckberg is licensed to practice in * (Not Available) (license number ) and his current practice location is 1791 Arastradero Rd, Palo Alto, California. He can be reached at his office (for appointments etc.) via phone at (800) 818-6136.

NPI number for Tyler Lyckberg is 1376024398 and his current mailing address is 232 Brock Rd, Nevada City, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376024398.

Contact Information

Tyler Lyckberg,
1791 Arastradero Rd,
Palo Alto, CA 94304-1337
(800) 818-6136
Not Available



Healthcare Provider's Profile

Full NameTyler Lyckberg
GenderMale
SpecialityStudent In An Organized Health Care Education/training Program
Location1791 Arastradero Rd, Palo Alto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376024398
  • Provider Enumeration Date: 08/27/2018
  • Last Update Date: 08/27/2018

Medical Identifiers

Medical identifiers for Tyler Lyckberg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376024398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Tyler Lyckberg 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 AddressPractice Location Address
Tyler Lyckberg,
232 Brock Rd,
Nevada City, CA 95959-2902

Ph: (530) 575-7221
Tyler Lyckberg,
1791 Arastradero Rd,
Palo Alto, CA 94304-1337

Ph: (800) 818-6136

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