| Fred W Lafferty Md, Inc | |
|
1611 S Green Rd Suite 147 South Euclid OH 44121-4128 | |
| (216) 381-1142 | |
| (216) 381-6459 |
| Full Name | Fred W Lafferty Md, Inc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 1611 S Green Rd, South Euclid, Ohio |
| Authorized Official Name and Position | Frederic W Lafferty (PRESIDENT) |
| Authorized Official Contact | 2163811142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred W Lafferty Md, Inc 1611 S Green Rd Suite 147 South Euclid OH 44121-4128 Ph: (216) 381-1142 | Fred W Lafferty Md, Inc 1611 S Green Rd Suite 147 South Euclid OH 44121-4128 Ph: (216) 381-1142 |
| NPI Number | 1851524540 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851524540 | NPI | - | NPPES |
| 0090584 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 23458 (Ohio) | Primary |
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