Individual
LAURIE ANN SIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
61899 M 43, BANGOR, MI 49013-9621
(269) 427-5671
Mailing address
PO BOX 249, PAW PAW, MI 49079-0249
(269) 657-5574
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704222904
MI
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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