Organization
LON LAFFERTY MD PSC
Active
Other names
Lafferty Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LON E LAFFERTY MD (OWNER)
(606) 298-7405
Entity
Organization
Contact information
Practice address
RT 40 EAST BLACKLOG RD, INEZ, KY 41224
(606) 298-7405
(606) 298-3284
Mailing address
PO BOX 1304, INEZ, KY 41224-1304
(606) 298-4705
(606) 298-3284
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
24313
KY
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
4341P
KY
Other
Enumeration date
09/27/2007
Last updated
06/13/2023
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