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Individual

JULIE E. LAFFERTY

Active
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Individual

JULIE E. LAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
108402
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
120928
BLUE CROSS BLUE SHIELD
MO
01
1533327
UNITED HEALTHCARE
MO
01
260040209
RR MEDICARE
MO
Enumeration date
08/30/2006
Last updated
09/15/2015
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