MEDICARE: DR LAFFERS PAIN RELIEF CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1093137663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR LAFFERS PAIN RELIEF CENTER

Provider Business Mailing Address
First Line	:	257A COMMERCIAL BLVD
Second Line	:
City	:	LAUDERDALE BY THE SEA
State	:	FL
Zip	:	33308-4442
Country	:	US
Telephone Number	:	954-783-2025
Fax Number	:

Provider Business Practice Location Address
First Line	:	257A COMMERCIAL BLVD
Second Line	:
City	:	LAUDERDALE BY THE SEA
State	:	FL
Zip	:	33308-4442
Country	:	US
Telephone Number	:	954-783-2025
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. SAMUEL LAFFER
Credential	:	A.P., O.M.D.
Telephone Number	:	954-783-2025

Provider Enumeration Date	:	01/15/2014
Last Update Date	:	01/20/2014

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Directions to “DR LAFFERS PAIN RELIEF CENTER ” Practice Location

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