NPI 1144200155 · live from the CMS NPI Registry
Lorell B Fawson, DPM
Podiatrist in Ogden, UT. National Provider Identifier 1144200155, active.
NPI record
| NPI | 1144200155 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 3590 Harrison Blvd, G1, Ogden, UT 84403 |
| Practice phone | 801-627-2122 |
| Enumerated | January 18, 2006 |
| Last updated | December 4, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 1030720501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.