Ferguson, Lee Michael

Ferguson, Lee Michael is an individual health care provider with primary practice located at 1010 Lakeland Square Ext Ste B , Flowood MS 39232-7607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ferguson, Lee Michael can be contacted via phone (601) 936-0890.

Contact Information

Primary practice address
1010 Lakeland Square Ext Ste B Flowood MS 39232-7607
Phone: (601) 936-0890
Fax: (601) 936-0891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 22578 Mississippi

Profile Details

NPI number 1114239423
LBN Legal business name Ferguson, Lee Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2010
Last updated Apr 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114239423 NPPES
Mississippi MEDICAID 09550236
Mississippi Other 22578

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