Provider Demographics
NPI:1497367841
Name:LAFFERTY, MORGAN ALESIA
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:ALESIA
Last Name:LAFFERTY
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:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:WV
Mailing Address - Zip Code:25126-0162
Mailing Address - Country:US
Mailing Address - Phone:304-205-2756
Mailing Address - Fax:
Practice Address - Street 1:59 HOSKINS RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:WV
Practice Address - Zip Code:25126
Practice Address - Country:US
Practice Address - Phone:304-205-2756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant