Lawrence John Fanelly JR., DO

NPI #1285614503 in Oregon, Ohio

Provider Information

NPI Number: 1285614503
Entity Type: Individual
Name: Lawrence John Fanelly JR., DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pathology - Anatomic Pathology & Clinical Pathology
Credential: DO
Enumeration Date: Jan 20, 2006
Last Updated: Sep 15, 2017

Practice Location

Address: 2600 NAVARRE AVE
City: Oregon
State: Ohio
ZIP Code: 43616-3207
Phone: (419) 696-7216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pathology - Anatomic Pathology & Clinical Pathology — Anatomic Pathology & Clinical Pathology	207ZP0102X	Primary

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