Lauffer, Mark D

Lauffer, Mark D is an individual health care provider with primary practice located at 6000 N Allen Rd , Peoria IL 61614-3294. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Lauffer, Mark D can be contacted via phone (309) 691-1400.

Contact Information

Primary practice address
6000 N Allen Rd Peoria IL 61614-3294
Phone: (309) 691-1400
Fax: (309) 693-3175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 385-002737 Illinois

Profile Details

NPI number 1184927709
LBN Legal business name Lauffer, Mark D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2010
Last updated Dec 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184927709 NPPES
Illinois MEDICAID 0850003967

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