Individual
LAUREN MAY KOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 110, FORT WAYNE, IN 46845-1673
(260) 425-6780
Mailing address
1725 W HARRISON ST, SUITE 1106, CHICAGO, IL 60612
(312) 942-4500
(312) 942-6755
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
02006260A
IN
2084A2900X
Neurocritical Care Physician
036-143142
IL
2084N0400X
Neurology Physician
H79360
MD
2084N0400X
Neurology Physician
Primary
OS021236
PA
Other
Enumeration date
04/26/2011
Last updated
04/14/2022
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