Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Marie Simon

Individual provider Audiologist · NPI 1588114961

Lisa Marie Simon is a Qualified Audiologist in Southfield, Michigan. Qualified in 2016, 10 years ago. Practices with Ear Nose and Throat Consultants PC, a 29-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
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Practice location Address checks out

29201 Telegraph Rd Ste 500
Southfield, MI 48034
Phone: (248) 569-5985
Fax: (248) 569-3704
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 1601000753 (MI)

Record details

NPI number1588114961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2016
Last updated in NPPESOctober 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ear Nose And Throat Consultants Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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