Provider Demographics
NPI:1093865008
Name:KOLMAN, LAUREN J (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:J
Last Name:KOLMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12405 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2520
Mailing Address - Country:US
Mailing Address - Phone:305-893-8822
Mailing Address - Fax:305-893-4470
Practice Address - Street 1:12405 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2520
Practice Address - Country:US
Practice Address - Phone:305-893-8822
Practice Address - Fax:305-893-4470
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7637111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor