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Individual

LINDSAY STAFFORD FERRINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1501 KINGS HWY, UROLOGY DEPARTMENT, SHREVEPORT, LA 71130-3932
(318) 813-2775
(318) 813-2755
Mailing address
1501 KINGS HWY, UROLOGY DEPARTMENT, SHREVEPORT, LA 71132-3932
(318) 813-2775
(318) 813-2755

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200054
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1099295
LA
Enumeration date
11/02/2006
Last updated
06/17/2009
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