Provider Demographics
NPI:1437948064
Name:DODSON, ALYSIA A
Entity type:Individual
Prefix:
First Name:ALYSIA
Middle Name:A
Last Name:DODSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 KAYNORTH RD APT 8
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-3852
Mailing Address - Country:US
Mailing Address - Phone:517-605-5964
Mailing Address - Fax:
Practice Address - Street 1:5550 KAYNORTH RD APT 8
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-3852
Practice Address - Country:US
Practice Address - Phone:517-605-5964
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide