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NPI Code Detail

MEDICARE: ALYSSA ATHAS

MEDICARE: ALYSSA ATHAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant8278WI

General Provider Information

NPI Number : 1346021060
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA ATHAS
Provider Business Mailing Address
First Line : 2000 UNIVERSITY AVE
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-5099
Country : US
Telephone Number : 563-589-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2000 UNIVERSITY AVE
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-5099
Country : US
Telephone Number : 563-589-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2023
Last Update Date : 07/24/2025

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1881357606 — MR. LAWRENCE THEODORE MURRAY II
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Directions to “ ALYSSA ATHAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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