{
"Npi": {
"NPI": "1598838070",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FERGUSON-LAWRENCE",
"FirstName": "AMY",
"MiddleName": "P.",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.D.S.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "390 GLOVER CEMETERY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PINE GROVE",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70453-2172",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "225-777-4591",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "34287 LA HIGHWAY 16",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DENHAM SPRINGS",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70706-0665",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "225-667-6889",
"PracticeLocationAddressFaxNumber": "225-667-6877",
"EnumerationDate": "11/15/2006",
"LastUpdateDate": "07/09/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "1223G0001X",
"TaxonomyName": "General Practice Dentistry",
"LicenseNumber": "5021",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}