Individual
LAURA IRENE KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704154501
MI
363LC1500X
Community Health Nurse Practitioner
4704154501
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704154501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4270532
—
MI
Enumeration date
12/11/2006
Last updated
05/24/2019
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