Healthcare Provider Details

I. General information

NPI: 1043573538
Provider Name (Legal Business Name): LAUREN P. HOFFMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2012
Last Update Date: 03/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1139 LEXINGTON AVE
SAVANNAH GA
31404-5502
US

IV. Provider business mailing address

1139 LEXINGTON AVE
SAVANNAH GA
31404-5502
US

V. Phone/Fax

Practice location:
  • Phone: 912-429-9020
  • Fax: 912-352-0793
Mailing address:
  • Phone: 912-429-9020
  • Fax: 912-352-0793

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN221751
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: