Provider Demographics
NPI:1558525063
Name:KAUFFMANN, LAURA A (LAC)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:KAUFFMANN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E 56TH ST RM 530
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3674
Mailing Address - Country:US
Mailing Address - Phone:212-982-3711
Mailing Address - Fax:
Practice Address - Street 1:120 E 56TH ST RM 530
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3674
Practice Address - Country:US
Practice Address - Phone:212-982-3711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001421171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist