LORENZO FERGUSON MD PC NPI 1770897290

NPI Information

  • NPI: 1770897290
  • Provider Name: LORENZO FERGUSON MD PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 22250 PROVIDENCE DR
    SUITE 201
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 569-4228

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NPI Details

LORENZO FERGUSON MD PC is a specialist in Southfield, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LORENZO FERGUSON MD PC NPI is 1770897290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22250 PROVIDENCE DR
SUITE 201
SOUTHFIELD, MI
ZIP 48075-825
Phone: (248) 569-4228

The provider's authorized official is Kenya M Fife .
The authorized official title is Office Manager and has the following contact phone number (248) 569-4228.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 7/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistLF040848MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10632071MEDICARE PINMICHIGAN
21720182066OTHERMICHIGANTYPE I NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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