Individual
MRS. LISA L FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
221 E MAPLE ST, CARSON CITY, MI 48811-0550
(989) 584-3153
(989) 584-3975
Mailing address
221 E MAPLE ST, CARSON CITY, MI 48811-0550
(989) 584-3153
(989) 584-3975
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
4704167154
MI
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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