Provider Demographics
NPI:1558413898
Name:LAFFERTY, LEIGH (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:
Last Name:LAFFERTY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 NORTH STREET
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424
Mailing Address - Country:US
Mailing Address - Phone:585-394-8170
Mailing Address - Fax:585-348-2020
Practice Address - Street 1:23 NORTH STREET
Practice Address - Street 2:SUITE 5
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424
Practice Address - Country:US
Practice Address - Phone:585-394-8170
Practice Address - Fax:585-348-2020
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300049363LF0000X
NYF3335421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily