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Individual

DR. AMY P. FERGUSON-LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
34287 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0665
(225) 667-6889
(225) 667-6877
Mailing address
390 GLOVER CEMETERY RD, PINE GROVE, LA 70453-2172
(225) 777-4591

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5021
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1850217
LA
05
1881589
LA
Enumeration date
11/15/2006
Last updated
07/09/2007
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