Individual
JENNA LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E STATE ST, ROCKFORD, IL 61104-2231
(815) 972-1037
Mailing address
1025 S STEWART AVE, FREEPORT, IL 61032-4759
(815) 391-0078
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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