Individual
ALEXANDRIA NICOLE LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0100
Mailing address
PO BOX 431, RAPIDS CITY, IL 61278-0431
(309) 373-0334
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
—
—
363A00000X
Physician Assistant
Primary
099852
IA
Other
Enumeration date
01/22/2020
Last updated
06/30/2025
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