Individual
DR. LAURA DARAY HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
919 MAIN ST STE 201, DYER, IN 46311
(219) 934-2495
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01063943
IN
207N00000X
Dermatology Physician
036117793
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200870640
—
IN
Enumeration date
04/12/2007
Last updated
03/13/2021
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