Laurence Steven Ellner, DPM

NPI #1003907916 in Fremont, California

Provider Information

NPI Number: 1003907916
Entity Type: Individual
Name: Laurence Steven Ellner, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Sep 27, 2006
Last Updated: Nov 12, 2012

Practice Location

Address: 2287 MOWRY AVE
Address 2: STE C
City: Fremont
State: California
ZIP Code: 94538-1622
Phone: (510) 713-6559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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