| H Lucius Laffitte Jr Md Llc | |
|
27b Kemmerlin Ln Beaufort SC 29907-2702 | |
| (843) 322-8477 | |
| (843) 322-8077 |
| Full Name | H Lucius Laffitte Jr Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 27b Kemmerlin Ln, Beaufort, South Carolina |
| Authorized Official Name and Position | Henry Lucius Laffitte (OWNER) |
| Authorized Official Contact | 8433228477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H Lucius Laffitte Jr Md Llc 27b Kemmerlin Ln Beaufort SC 29907-2702 Ph: (843) 322-8477 | H Lucius Laffitte Jr Md Llc 27b Kemmerlin Ln Beaufort SC 29907-2702 Ph: (843) 322-8477 |
| NPI Number | 1447490347 |
|---|---|
| Provider Enumeration Date | 03/05/2009 |
| Last Update Date | 03/05/2009 |
| Medicare PECOS PAC ID | 8820154651 |
|---|---|
| Medicare Enrollment ID | O20090303000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447490347 | NPI | - | NPPES |
| TL6561 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Henry Lucius Laffitte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912998204 PECOS PAC ID: 3971541236 Enrollment ID: I20050817000205 |
| Provider Name | Angela P Diemont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063693950 PECOS PAC ID: 6406928571 Enrollment ID: I20100419000029 |
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