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Individual

EDWARD T LAFFERTY III

Active
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Individual

EDWARD T LAFFERTY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00608500
NJ
111N00000X
Chiropractor
Primary
CHR.0008110
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHR.0008110
COLORADO CHIROPRACTIC LICENSE
CO
01
—
EL.2787047
COLORADO ELECTROTHERAPY CHIROPRACTIC LICENSE
CO
Enumeration date
01/03/2007
Last updated
04/27/2021
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