Healthcare Provider Details

I. General information

NPI: 1801116652
Provider Name (Legal Business Name): LOOKING GLASS FOOT & ANKLE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13765 S SEDONA PKWY
LANSING MI
48906-8103
US

IV. Provider business mailing address

13765 S SEDONA PKWY
LANSING MI
48906-8103
US

V. Phone/Fax

Practice location:
  • Phone: 517-668-6166
  • Fax: 517-668-6169
Mailing address:
  • Phone: 517-668-6166
  • Fax: 517-668-6169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number5901002235
License Number StateMI

VIII. Authorized Official

Name: DR. ANDREA KAY SIMONS
Title or Position: OWNER
Credential: DPM
Phone: 517-668-6166