Individual
LEAH SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2350 N ROCKTON AVE, ROCKFORD, IL 61103-3600
(815) 971-7400
(815) 971-9460
Mailing address
2350 N ROCKTON AVE, ROCKFORD, IL 61103-3600
(815) 971-7400
(815) 971-9460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007811
IL
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151893342
—
WI
Enumeration date
03/12/2020
Last updated
02/26/2021
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