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Contact Information

ALEXANDRIA N LYON, PA
3200 W KIMBERLY RD
DAVENPORT, IA52806-3059
 Phone: 563-421-0100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALEXANDRIA N LYON · (Female)

NPI Number 1144850801
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/22/2020
Last updated 06/30/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • IA License # 099852
Hospital affiliation(s)
  • GENESIS MEDICAL CENTER ILLINI CAMPUS - (Acute Care)
    801 ILLINI DRIVE
    SILVIS, IL 61282
  • GENESIS MEDICAL CENTER-DAVENPORT - (Acute Care)
    1227 EAST RUSHOLME STREET
    DAVENPORT, IA 52803
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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