NPI 1144200155
Lorell B Fawson, DPM
Practice location
- Address
- 3590 Harrison Blvd G1, Ogden, UT 84403
- Phone
- (801) 627-2122
- Fax
- (801) 627-2125
Registered specialties
Podiatrist
Primary
Registry record
- NPI
- 1144200155
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Jan 2006
- Record last updated
- 4 Dec 2007
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.