Individual
ALICIA LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3135 W 22ND ST, KEARNEY, NE 68845-8700
(308) 440-7895
Mailing address
401 5TH ST, PO BOX 264, OVERTON, NE 68863-5377
(308) 627-1739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7323
NE
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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