Provider Demographics
NPI:1093137663
Name:DR LAFFERS PAIN RELIEF CENTER
Entity Type:Organization
Organization Name:DR LAFFERS PAIN RELIEF CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:AP, OMD
Authorized Official - Phone:954-783-2025
Mailing Address - Street 1:257A COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4442
Mailing Address - Country:US
Mailing Address - Phone:954-783-2025
Mailing Address - Fax:
Practice Address - Street 1:257A COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:LAUDERDALE BY THE SEA
Practice Address - State:FL
Practice Address - Zip Code:33308-4442
Practice Address - Country:US
Practice Address - Phone:954-783-2025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty