Individual
ROXANN G LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 S WILLARD ST, STE. 120, COTTONWOOD, AZ 86326-6743
(928) 634-2574
(928) 634-2841
Mailing address
2550 N THUNDERBIRD CIR, STE 303, MESA, AZ 85215-1214
(480) 435-9132
(480) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2027
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391201
—
AZ
Enumeration date
09/14/2005
Last updated
05/09/2017
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