Individual
DR. LAUREN ROSE HOFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
704 LOUISE AVE, CHARLOTTE, NC 28204-2128
(704) 372-3870
Mailing address
704 LOUISE AVE, CHARLOTTE, NC 28204-2128
(704) 372-3870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2223
NC
152W00000X
Optometrist
S-C31-TA-853
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12281758
CAQH
—
05
—
5918088
—
NC
01
—
NC08591502
MEDICARE PTAN
—
Enumeration date
05/10/2010
Last updated
05/01/2014
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