Lorenzo Ferguson MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

LF040848 Issued in MI

Legal business name

LORENZO FERGUSON MD PC

Practice address

22250 Providence Dr
Suite 201
Southfield, MI 48075-4825

Phone

(248) 569-4228

NPI assigned

Jul 27, 2010

Last updated

Jul 27, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kenya M Fife

Title

Office Manager

Phone

(248) 569-4228

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lacesha Brintley, MD

  • Surgery Physician
  • Detroit, MI
  • NPI 1942278320

  Specialist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1770897290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22250 PROVIDENCE DR",
            "address_2": "SUITE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754825",
            "telephone_number": "248-569-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZO FERGUSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "FIFE",
        "authorized_official_first_name": "KENYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-569-4228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "LF040848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1720182066",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Lopiccolo
• Maisee Katelyn Lor, D.O.
• Lauren Lora
• Constance Mae Lorenz, MSW
• Nicholas Lorenz, PA-C
• Lotus Wellness Centers, Inc
• Beverly Jean Loudon, LMSW
• Muthanna L. Louis, M.D
• Deanna Marie Louks
• Ira Lourie, PSY.D.

• Specialist in Southfield, MI
• Providers in Southfield, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.