Healthcare Provider Details

I. General information

NPI: 1841457876
Provider Name (Legal Business Name): LARA MICHELLE KAUFFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LARA MICHELLE HERRMANN

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

45 FRY RD
NEWVILLE PA
17241-9610
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-8521
  • Fax:
Mailing address:
  • Phone: 717-576-8997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMT186093
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD431945
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: