Individual provider · NPI-1

Lisa C Ferguson, MD

Anesthesiology · Terre Haute, IN

NPI number1093868283
StatusActive
Last updated in NPPESOct 18, 2010

Details

NPI
1093868283
Entity type
Individual (NPI-1)
Name
Lisa C Ferguson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jan 19, 2007
Last updated
Oct 18, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology01055730AINYes
207LP2900X Anesthesiology, Pain Medicine01055730AIN

Practice location

1606 N 7th St
Terre Haute, IN 47804-2706

Phone 812-238-7000

Mailing address

Po Box 2505
Indianapolis, IN 46206-2505

Phone 812-238-7783 · Fax 812-238-4506

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