Organization
FRED W LAFFERTY MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC W LAFFERTY M.D. (PRESIDENT)
(216) 381-1142
Entity
Organization
Contact information
Practice address
1611 S GREEN RD, SUITE 147, SOUTH EUCLID, OH 44121-4128
(216) 381-1142
(216) 381-6459
Mailing address
1611 S GREEN RD, SUITE 147, SOUTH EUCLID, OH 44121-4128
(216) 381-1142
(216) 381-6459
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
23458
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090584
—
OH
Enumeration date
08/27/2009
Last updated
11/03/2009
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