Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | WV2326 | WV |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | WV2326 | WV |
NPI | 1508066648 |
---|---|
Provider Name | Howard Wesley Lafferty |
First Address | Madison, WV 25130-1669 |
Second Address | Madison, WV 25130-1669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 05/11/2014 |