Individual
ADA LYNN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 LEE AVE, NORWALK, OH 44857-1741
(419) 706-8994
Mailing address
25 LEE ST, NORWALK, OH 44857
(419) 706-8994
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN081762
OH
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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