Dr Lorell Fawson Dpm in Ogden - Foot Surgery

Dr Lorell Fawson Dpm - NPI 1760664668

Dr Lorell Fawson Dpm is a Foot Surgery in Ogden, Utah. Dr Lorell Fawson Dpm practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Dr Lorell Fawson Dpm is 1760664668. The last update date is 2008-06-16.

Dr Lorell Fawson Dpm's current location address is 3590 Harrison Blvd Suite G-1, Ogden, Utah. You can contact this provider via phone number 8016272122 and fax number 8016272125. The mailing address for Dr Lorell Fawson Dpm is 3590 Harrison Blvd Suite G-1, Ogden, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr Lorell Fawson Dpm
Address 3590 Harrison Blvd Suite G-1, Ogden, Utah
Phone Number 8016272122
Fax Number 8016272125
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Kersker Kathy
Telephone Number 8016272122

NPI Number Detail

NPI Number 1760664668
Provider Enumeration Date 2007-12-03
Last Updated Date 2008-06-16

Provider Mailing Address Detail

Address 3590 Harrison Blvd Suite G-1
City Ogden
State Utah (UT)
Post Code 84403
Phone Number 8016272122
Fax Number 8016272125

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

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FAQs about Dr Lorell Fawson Dpm

What is the unique 10-digit identifier code assigned to Dr Lorell Fawson Dpm by the Centers for Medicare & Medicaid Services?

The Dr Lorell Fawson Dpm has been issued the NPI (National Provider Identifier) 1760664668 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Dr Lorell Fawson Dpm is physically located?

The Dr Lorell Fawson Dpm is situated at the following address: 3590 Harrison Blvd Suite G-1, Ogden, UT 84403.

What is Dr Lorell Fawson Dpm's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Dr Lorell Fawson Dpm is Foot Surgery, and the taxonomy code that classifies this field of practice is 213Es0131X.

On what date did the Centers for Medicare & Medicaid Services assign the 1760664668 to Dr Lorell Fawson Dpm?

The Centers for Medicare & Medicaid Services assigned the 1760664668 to Dr Lorell Fawson Dpm on 2007-12-03.

As of what date were the details related to Dr Lorell Fawson Dpm most recently updated or revised?

The information pertaining to Dr Lorell Fawson Dpm, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-16.

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