Provider Demographics
NPI:1316669294
Name:SIMMONS, LASOYA DENISE
Entity type:Individual
Prefix:MRS
First Name:LASOYA
Middle Name:DENISE
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LASOYA
Other - Middle Name:DENISE
Other - Last Name:SIMMONS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:GOLDEN LIFE HOME
Mailing Address - Street 1:8185 BELVEDERE RD # 4-307
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-6231
Mailing Address - Country:US
Mailing Address - Phone:772-444-2350
Mailing Address - Fax:
Practice Address - Street 1:8185 BELVEDERE RD # 4-307
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-6231
Practice Address - Country:US
Practice Address - Phone:772-444-2350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-16
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide