Individual
LASHONDIA D FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
215 TREUHAFT BLVD, STE 2, BARBOURVILLE, KY 40906-7361
(606) 545-0400
(606) 545-0433
Mailing address
1643 KY 3442, BARBOURVILLE, KY 40906-7554
(606) 545-7332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006836
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100164240
—
KY
Enumeration date
02/11/2011
Last updated
03/15/2013
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