Lafferty Family Care | |
1706 Se Walton Blvd Suite 4 Bentonville AR 72712-3200 | |
(479) 464-0400 | |
(479) 268-5688 |
Full Name | Lafferty Family Care |
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Speciality | Family Medicine |
Location | 1706 Se Walton Blvd, Bentonville, Arkansas |
Authorized Official Name and Position | Warren Scott Lafferty (PHYSICIAN/OWNER) |
Authorized Official Contact | 4794640400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lafferty Family Care 1706 Se Walton Blvd Suite 4 Bentonville AR 72712-3200 Ph: (479) 464-0400 | Lafferty Family Care 1706 Se Walton Blvd Suite 4 Bentonville AR 72712-3200 Ph: (479) 464-0400 |
NPI Number | 1487904009 |
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Provider Enumeration Date | 09/11/2012 |
Last Update Date | 10/31/2014 |
Medicare PECOS PAC ID | 9335565134 |
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Medicare Enrollment ID | O20200811001971 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487904009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Warren S Lafferty |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639118391 PECOS PAC ID: 2264471275 Enrollment ID: I20050428001114 |
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