Organization
LORI KAUFMAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ELLEN KAUFMAN M.D. (PRESIDENT)
(256) 882-9777
Entity
Organization
Contact information
Practice address
400 WHITESPORT DR SW, STE 201, HUNTSVILLE, AL 35801-6452
(256) 882-9777
(256) 882-9188
Mailing address
400 WHITESPORT DR SW, STE 201, HUNTSVILLE, AL 35801-6452
(256) 882-9777
(256) 882-9188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14161
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14161
ALABAMA LICENSE
AL
01
—
4113939
AETNA
AL
01
—
81959
BLUE CROSS BLUE SHIELD
AL
01
—
C72458
UPIN
AL
Enumeration date
12/18/2007
Last updated
12/18/2007
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