Individual
DANA LEIGH SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
405 W GREENLAWN AVE STE 106, LANSING, MI 48910-2889
(517) 482-6280
Mailing address
7081 CEDAR RIDGE DR, PORTLAND, MI 48875-8676
(517) 526-3319
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704255835
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704255835
MI
Other
Enumeration date
03/12/2015
Last updated
06/08/2015
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