Lafferty, Roxann G

Lafferty, Roxann G is an individual health care provider with primary practice located at 450 S Willard St Ste. 120, Cottonwood AZ 86326-6743. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lafferty, Roxann G can be contacted via phone (928) 634-2574.

Contact Information

Primary practice address
450 S Willard St Ste. 120 Cottonwood AZ 86326-6743
Phone: (928) 634-2574
Fax: (928) 634-2841
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2027 Arizona

Profile Details

NPI number 1053306241
LBN Legal business name Lafferty, Roxann G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated May 9th, 2017 - about 7 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 1053306241 NPPES
Arizona MEDICAID 391201

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