Individual
DR. CASEY ELIZABETH LAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
700 SPRUCE ST, PHILADELPHIA, PA 19106-4022
(215) 829-3468
Mailing address
700 SPRUCE ST, PHILADELPHIA, PA 19106-4022
(215) 829-3468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS021947
PA
207Q00000X
Family Medicine Physician
OS13913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018283200
—
FL
01
—
IR340Y
MEDICARE
FL
Enumeration date
06/30/2010
Last updated
10/04/2022
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