Lisa Ferguson

NPI #1760885198 in Lindale, Texas

Provider Information

NPI Number
1760885198
Entity Type
Individual
Name
Lisa Ferguson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 30, 2014
Last Updated
Mar 5, 2015

Practice Location

Address
3203 S MAIN ST
State
Texas
ZIP Code
75771-7727
Phone
(903) 882-0991

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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