Individual
COLLEEN JULIA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
612 W LAKE LANSING RD STE 200, EAST LANSING, MI 48823-8528
(517) 331-0793
Mailing address
612 W LAKE LANSING RD STE 200, EAST LANSING, MI 48823-8528
(517) 331-0793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010767
MI
363A00000X
Physician Assistant
9114879
FL
Other
Enumeration date
10/14/2021
Last updated
06/16/2025
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