MEDICARE: LOFMAN PLASTIC SURGERY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1851228076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOFMAN PLASTIC SURGERY, PLLC

Provider Business Mailing Address
First Line	:	42450 W TWELVE MILE RD STE 100
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-3011
Country	:	US
Telephone Number	:	248-540-2100
Fax Number	:	249-540-2200

Provider Business Practice Location Address
First Line	:	42450 W TWELVE MILE RD STE 100
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48377-3011
Country	:	US
Telephone Number	:	248-540-2100
Fax Number	:	249-540-2200

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANDREW MICHAEL LOFMAN
Credential	:	MD
Telephone Number	:	249-540-2100

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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