person
Mark D Lauffer, PA
Surgical Physician Assistant in Peoria, Illinois
NPI 1184927709

Mark D Lauffer is a Surgical Physician Assistant based in Peoria, IL and is specialized in Surgical. Mark D Lauffer practices in Peoria, IL and has the professional credentials of PA. The NPI Number for Mark D Lauffer is 1184927709 and holds a License No. 385-002737 (Illinois).

The current practice location address for Mark D Lauffer is 6000 N Allen Rd, Peoria, IL and can be reached out via phone at 309-691-1400 and via fax at 309-693-3175.

Location: 6000 N Allen Rd, Peoria, IL, 61614-3294
person
Provider Profile Details
NPI Number
1184927709
Provider Name
Mark D Lauffer
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
6000 N Allen Rd, Peoria, IL, 61614-3294
Phone Number
309-691-1400
Fax Number
309-693-3175
Provider Enumeration Date
12/21/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0850003967 05 IL
institution
Provider Business Practice Location Address Details
Address
6000 N Allen Rd
City
State
Zip
61614-3294
Phone Number
309-691-1400
Fax Number
309-693-3175
person
Provider Business Mailing Address Details
Address
6000 N Allen Rd
City
State
Zip
61614-3294
Phone Number
309-691-1400
Fax Number
309-693-3175
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
385-002737 (Illinois)
Definition
Definition to come...
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