Lorell B Fawson, DPM

NPI #1144200155 in Ogden, Utah

Provider Information

NPI Number
1144200155
Entity Type
Individual
Name
Lorell B Fawson, DPM
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist
Credential
DPM
Enumeration Date
Jan 18, 2006
Last Updated
Dec 4, 2007

Practice Location

Address
3590 HARRISON BLVD
Address 2
G1
City
Ogden
State
Utah
ZIP Code
84403
Phone
(801) 627-2122

Specialties & Taxonomy Codes

Specialty
Podiatrist

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