LORELL FAWSON, DPM

Podiatrist

Active Individual
NPI: 1144200155

Practice Address

3590 HARRISON BLVD
G1
Ogden, UT 84403

Phone: (801) 627-2122

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes 1030720501 (UT)

Frequently Asked Questions

NPI 1144200155 is the National Provider Identifier for LORELL FAWSON, DPM, a Podiatrist provider located in Ogden, UT. This NPI was enumerated on January 18, 2006.
LORELL FAWSON, DPM practices at 3590 HARRISON BLVD, G1, Ogden, UT 84403.

Quick Facts

NPI
1144200155
Type
Individual
Enumerated
Jan 18, 2006
Last Updated
Dec 4, 2007

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