Answers with a clear next step.

Lightning VIP is a cash-based practice, which allows for a more direct and personalized care experience without the limitations of a traditional insurance-based model. Labs, medications, imaging, or outside services may have separate costs depending on what is recommended.

Lightning VIP’s medical services currently operate in Nevada only. Non-medical health coaching is available nationwide.

For medical care, the first step is the appointment. This allows Dr. Lightning to review your current concerns, symptoms, history, and goals before recommending the most appropriate next step.

For health coaching, speaking, media, or organization requests, use the correct inquiry path so the request can be routed properly.

Lightning VIP offers both telehealth and in-person care, depending on the service, the patient’s needs, and what is clinically appropriate. Many visits can be handled virtually, while some concerns may require in-person care or follow-up.

If you are returning after a gap in care, updated forms, agreements, or re-enrollment steps may be required depending on the service you are re-entering. The best next step is still to book the appointment so the office can guide you correctly.

Primary care focuses on diagnosis, treatment, chronic condition management, medication review, preventive care, screenings, urgent concerns, and routine medical support.

Functional medicine is a separate root-cause approach that goes deeper into patterns involving hormones, metabolism, gut health, inflammation, nutrient deficiencies, stress, and long-term optimization. These services are separate and may be booked and billed separately.

Not always. Some patients can begin with a straightforward path, while others may need deeper testing to better understand what is driving their symptoms. Your appointment helps determine whether labs should come first and which type of testing is actually appropriate.

Membership availability may vary. If enrollment is limited or currently full, the office can guide you toward the most appropriate next step when you book or inquire. The clearest move is still to begin with the appointment so your needs can be reviewed properly.

Yes. Many patients come in with a focused concern such as weight, hormones, energy, gut health, inflammation, or metabolic support. The appointment helps determine whether that concern belongs under primary care, functional medicine, a focused service path, or another recommendation.

No. Health coaching is a non-medical support service focused on behavior change, lifestyle strategies, habits, supplements, and natural wellness follow-through. It does not replace diagnosis, treatment, or prescription-based medical care.

Coaching begins through the coaching interest form, not through a medical appointment. That helps determine fit, state, goals, and whether coaching is the right path or whether another service should come first.

Speaking engagements are handled through the speaking inquiry form. That is the best place to share your organization, event type, audience, date, and goals so availability and fit can be reviewed correctly.

Yes. Lightning VIP can explore primary care partnership options for select businesses, executive teams, and corporate partners who want a more direct path to routine medical care, follow-up, preventive support, and continuity for the people they are responsible for.

This is not the same as a speaking request. It is a conversation about primary care access and an ongoing care relationship for an organization or partner group.