Healthcare Provider Details

I. General information

NPI: 1851228076
Provider Name (Legal Business Name): LOFMAN PLASTIC SURGERY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42450 W TWELVE MILE RD STE 100
NOVI MI
48377-3011
US

IV. Provider business mailing address

42450 W TWELVE MILE RD STE 100
NOVI MI
48377-3011
US

V. Phone/Fax

Practice location:
  • Phone: 248-540-2100
  • Fax: 249-540-2200
Mailing address:
  • Phone: 248-540-2100
  • Fax: 249-540-2200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW MICHAEL LOFMAN
Title or Position: OWNER
Credential: MD
Phone: 249-540-2100