Provider Demographics
NPI:1407666704
Name:FERGUSON, LYNDEY EARLINE
Entity type:Individual
Prefix:
First Name:LYNDEY
Middle Name:EARLINE
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 WARNER HILL RD
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-4700
Mailing Address - Country:US
Mailing Address - Phone:580-954-5757
Mailing Address - Fax:
Practice Address - Street 1:78 WARNER HILL RD
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-4700
Practice Address - Country:US
Practice Address - Phone:580-954-5757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program