DR LORELL FAWSON DPM NPI 1760664668

NPI Information

DR LORELL FAWSON DPM is a foot surgery podiatrist in Ogden, UT. DR LORELL FAWSON DPM NPI is 1760664668. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3590 HARRISON BLVD
SUITE G1
OGDEN, UT
ZIP 84403-060
Phone: (801) 627-2122
Fax: (801) 627-2125

The provider's authorized official is Kathy Kersker .
The authorized official title is Office Manager and has the following contact phone number (801) 627-2122.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 6/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.