Individual
LON E LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 BLACKLOG RD, INEZ, KY 41224-9019
(606) 295-5028
(606) 638-4502
Mailing address
PO BOX 1304, INEZ, KY 41224-1304
(606) 298-7405
(606) 298-3284
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
24313
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64243132
—
KY
Enumeration date
07/20/2005
Last updated
09/13/2021
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