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General NPI Number Information
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NPI Number | 1386597060
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Entity Type | Organization
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Legal Business Name | LANCE S FERGUSON MD PSC
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 9780 ORMSBY STATION RD STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40223-4049
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Country | US
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Telephone | 502-306-9551
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Fax | 502-306-9553
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Provider Business Mailing Address
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Address Line | 9780 ORMSBY STATION RD STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40223-4049
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Country | US
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Telephone | 502-306-9551
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Fax | 502-306-9553
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Authorized Official
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Title or Position | OWNER
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Name | LANCE STIRLING FERGUSON
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Credential |
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Telephone | 859-224-2655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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