Provider Demographics
NPI:1770338964
Name:LAFFEY, LAURIE BETH
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:BETH
Last Name:LAFFEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-1058
Mailing Address - Country:US
Mailing Address - Phone:269-876-2044
Mailing Address - Fax:
Practice Address - Street 1:401 N BLUFF ST
Practice Address - Street 2:
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49103-1058
Practice Address - Country:US
Practice Address - Phone:269-876-2044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver