Individual
LAUREN MARIE KOFOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 TIMBERLINE DR, LEMONT, IL 60439-3848
(630) 248-6635
Mailing address
40 TIMBERLINE DR, LEMONT, IL 60439-3848
(630) 248-6635
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036127764
IL
2084P0800X
Psychiatry Physician
MD429623
PA
Other
Enumeration date
12/28/2006
Last updated
05/27/2011
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