LORENZO FERGUSON MD PC
NPI 1770897290
Specialist in Southfield, MI

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since July 27, 2010

22250 PROVIDENCE DR, SUITE 201, SOUTHFIELD, MI 48075(248) 569-4228 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Lorenzo Ferguson Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORENZO FERGUSON MD PC (NPI 1770897290) is a healthcare organization registered as a specialist in Southfield, Michigan and active in the NPI registry since July 2010. The organization lists Kenya M Fife, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1770897290

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameLORENZO FERGUSON MD PC

Location Address22250 PROVIDENCE DR, SUITE 201Southfield, MI 48075-4825

Mailing Address22250 Providence Dr, Suite 201Southfield, MI 48075-4825

Phone(248) 569-4228

Organization SubpartNo

Authorized OfficialKenya M FifeOffice Manager · (248) 569-4228

Enumeration DateJuly 27, 2010

✔ NPI 1770897290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MI · LF040848

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

22250 PROVIDENCE DR, Southfield, MI 48075

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Other Identifiers 2

Medicare PIN0632071MI

Other1720182066MI · Type I Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP