Whalio Doctors

NPI 1144200155

Lorell B Fawson, DPM

Practitioner Podiatrist Ogden, UT

Practice location

Address
3590 Harrison Blvd G1, Ogden, UT 84403
Phone
(801) 627-2122
Fax
(801) 627-2125

Registered specialties

Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 1030720501 (UT)

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.