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Individual

EDWARD T LAFFERTY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
103 4TH ST STE 330, CASTLE ROCK, CO 80104-2449
(721) 645-1623
(732) 901-5044
Mailing address
103 4TH ST STE 330, CASTLE ROCK, CO 80104-2449
(721) 645-1623

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00608500
NJ
111N00000X
Chiropractor
Primary
CHR.0008110
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CHR.0008110
COLORADO CHIROPRACTIC LICENSE
CO
01
EL.2787047
COLORADO ELECTROTHERAPY CHIROPRACTIC LICENSE
CO
Enumeration date
01/03/2007
Last updated
04/27/2021
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