Individual
LOLITA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013049
NY
363AS0400X
Surgical Physician Assistant
Primary
013049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01390207
—
NY
Enumeration date
12/04/2008
Last updated
12/29/2016
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