Lafferty, Keith

Lafferty, Keith is an individual health care provider with primary practice located at 13681 Doctors Way , Fort Myers FL 33912-4300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Lafferty, Keith can be contacted via phone (239) 343-3292.

Contact Information

Primary practice address
13681 Doctors Way Fort Myers FL 33912-4300
Phone: (239) 343-3292
Fax: (239) 343-3695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME79508 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA07304700 New Jersey

Profile Details

NPI number 1821091653
LBN Legal business name Lafferty, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821091653 NPPES
New Jersey Other 2734337000 AMERIHEALTH
New Jersey MEDICAID 8240906 AMERIHEALTH
New Jersey MEDICAID 257969300 AMERIHEALTH
New Jersey Other 49485 AMERIHEALTH

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