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NPI Code Detail

MEDICARE: LAUREN M FERGUSON MS

MEDICARE:   LAUREN M FERGUSON  MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist671CO

General Provider Information

NPI Number : 1013446269
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN M FERGUSON MS
Provider Business Mailing Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 303-838-2179
Fax Number :
Provider Business Practice Location Address
First Line : 10791 KITTY DR STE A
Second Line :
City : CONIFER
State : CO
Zip : 80433-7748
Country : US
Telephone Number : 720-281-9789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2017
Last Update Date : 05/11/2024

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Directions to “ LAUREN M FERGUSON MS” Practice Location

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