Individual
DR. MOSES TUCKER LAFFITTE IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 GRESHAM DRIVE, NORFOLK, VA 23507
(757) 388-3000
Mailing address
1029 W PRINCESS ANNE RD, NORFOLK, VA 23507-1219
(803) 730-1572
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0116023869
VA
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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