Provider Demographics
NPI:1336258516
Name:LAUFMAN, LESLIE R (MD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:R
Last Name:LAUFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4272 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-5000
Mailing Address - Country:US
Mailing Address - Phone:614-319-3196
Mailing Address - Fax:614-319-3198
Practice Address - Street 1:2975 DONNYLANE BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-3228
Practice Address - Country:US
Practice Address - Phone:614-366-8380
Practice Address - Fax:614-366-8557
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35039256174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0311611Medicaid
OH000000655431OtherANTHEM
OH0441191Medicare PIN
A77355Medicare UPIN