NPI 1003907916

Laurence Steven Ellner, DPM

Practitioner Podiatrist Fremont, CA

Practice location

Address: 2287 Mowry Ave STE C, Fremont, CA 94538-1622
Phone: (510) 713-6559
Fax: (510) 713-6537

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence E3746 (CA)

Other Podiatrist providers in California →

Registry record

NPI: 1003907916
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2006
Record last updated: 12 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.