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Individual

LANCE STIRLING FERGUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2353 ALEXANDRIA DR, SUITE 260, LEXINGTON, KY 40504-3264
(859) 224-2655
(859) 223-7147
Mailing address
2353 ALEXANDRIA DR, SUITE 350, LEXINGTON, KY 40504-3264
(859) 224-2655
(859) 223-7147

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24147
KY
207W00000X
Ophthalmology Physician
35046757
OH
207W00000X
Ophthalmology Physician
MED-PHYS-LIC-27425
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64241474
KY
Enumeration date
01/31/2006
Last updated
03/31/2017
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