Individual
LAUREN JUNE STOFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2932 W LUDWIG RD, FORT WAYNE, IN 46818-1328
(260) 755-1304
(260) 755-1306
Mailing address
2932 W LUDWIG RD, FORT WAYNE, IN 46818-1328
(260) 755-1304
(260) 755-1306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11017942A
IN
207Q00000X
Family Medicine Physician
34.012859
OH
Other
Enumeration date
06/27/2014
Last updated
03/15/2024
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