| Lafferty Medical Clinic | |
|
Rt 40 East Blacklog Rd Inez KY 41224 | |
| (606) 298-7405 | |
| (606) 298-3284 |
| Full Name | Lafferty Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | Rt 40 East Blacklog Rd, Inez, Kentucky |
| Authorized Official Name and Position | Lon E Lafferty (OWNER) |
| Authorized Official Contact | 6062987405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafferty Medical Clinic Po Box 1304 Inez KY 41224-1304 Ph: (606) 298-4705 | Lafferty Medical Clinic Rt 40 East Blacklog Rd Inez KY 41224 Ph: (606) 298-7405 |
| NPI Number | 1992992572 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 4880764141 |
|---|---|
| Medicare Enrollment ID | O20080529000685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992992572 | NPI | - | NPPES |
| Provider Name | Steven M Gauze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083613079 PECOS PAC ID: 6204895071 Enrollment ID: I20041007000258 |
| Provider Name | Lon E Lafferty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194724229 PECOS PAC ID: 6608946959 Enrollment ID: I20080529000679 |
| Provider Name | Ashley D Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780364638 PECOS PAC ID: 9739543091 Enrollment ID: I20230919004089 |
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