Provider Demographics
NPI:1497876262
Name:HOFF, NANCY (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:HOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 S FAIRMONT AVE
Mailing Address - Street 2:A2
Mailing Address - City:LODI
Mailing Address - State:CA
Mailing Address - Zip Code:95240-4643
Mailing Address - Country:US
Mailing Address - Phone:209-369-4425
Mailing Address - Fax:209-369-4836
Practice Address - Street 1:755 S FAIRMONT AVE
Practice Address - Street 2:A2
Practice Address - City:LODI
Practice Address - State:CA
Practice Address - Zip Code:95240-4643
Practice Address - Country:US
Practice Address - Phone:209-369-4425
Practice Address - Fax:209-369-4836
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG34234208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics